person
Jack D Keller, MD
Family Medicine Physician in Marion, Illinois
NPI 1467636605

Jack D Keller is a Family Medicine Physician based in Marion, IL. Jack D Keller practices in Marion, IL and has the professional credentials of MD. The NPI Number for Jack D Keller is 1467636605 and holds a License No. 036056531 (Illinois).

The current practice location address for Jack D Keller is 1008 W. Cherry St., Marion, IL and can be reached out via phone at 618-997-2919 and via fax at 618-997-6851.

Location: 1008 W. Cherry St., Marion, IL, 62959-1998
person
Provider Profile Details
NPI Number
1467636605
Provider Name
Jack D Keller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1008 W. Cherry St., Marion, IL, 62959-1998
Phone Number
618-997-2919
Fax Number
618-997-6851
Provider Enumeration Date
12/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036056531 05 IL
institution
Provider Business Practice Location Address Details
Address
1008 W. Cherry St.
City
State
Zip
62959
Phone Number
618-997-2919
Fax Number
618-997-6851
person
Provider Business Mailing Address Details
Address
1008 W. Cherry St.
City
State
Zip
62959
Phone Number
618-997-2919
Fax Number
618-997-6851
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036056531 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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