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Dr. Leslie K Jackson, MD
Family Medicine Physician in Taylorville, Illinois
NPI 1649320904

Leslie K Jackson is a Family Medicine Physician based in Taylorville, IL. Leslie K Jackson practices in Taylorville, IL and has the professional credentials of MD. The NPI Number for Leslie K Jackson is 1649320904 and holds a License No. 036072876 (Illinois).

The current practice location address for Leslie K Jackson is 404 E Main Cross St, Taylorville, IL and can be reached out via phone at 217-824-3758 and via fax at 217-824-3758.

Location: 404 E Main Cross St, Taylorville, IL, 62568-2656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649320904
Provider Name
Leslie K Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
404 E Main Cross St, Taylorville, IL, 62568-2656
Phone Number
217-824-3758
Fax Number
217-824-3758
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371403688001 05 IL
036072876 05 IL
institution
Provider Business Practice Location Address Details
Address
404 E Main Cross St
City
Taylorville
State
Illinois
Zip
62568-2656
Phone Number
217-824-3758
Fax Number
217-824-3758
person
Provider Business Mailing Address Details
Address
404 E Main Cross St
City
Taylorville
State
Illinois
Zip
62568-2656
Phone Number
217-824-3758
Fax Number
217-824-3758
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036072876 (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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