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Passavant Physician Association
Adult Health Nurse Practitioner in Jacksonville, Illinois
NPI 1720370778

Passavant Physician Association is an Adult Health Nurse Practitioner based in Jacksonville, IL and is specialized in Adult Health. Passavant Physician Association practices in Jacksonville, IL. The NPI Number for Passavant Physician Association is 1720370778 and holds a License No. 036091905 (Illinois).

The current practice location address for Passavant Physician Association is 559 N Westgate Ave, Jacksonville, IL and can be reached out via phone at 217-243-5474.

Location: 559 N Westgate Ave, Jacksonville, IL, 62650-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720370778
Provider Name
Passavant Physician Association
Credential
Provider Entity Type
Organization
Address
559 N Westgate Ave, Jacksonville, IL, 62650-1136
Phone Number
217-243-5474
Fax Number
Provider Enumeration Date
05/10/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
559 N Westgate Ave
City
Jacksonville
State
Illinois
Zip
62650-1156
Phone Number
217-243-5474
Fax Number
person
Provider Business Mailing Address Details
Address
559 N Westgate Ave
City
Jacksonville
State
Illinois
Zip
62650-1156
Phone Number
217-243-5474
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036056832 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
036091905 (Illinois)
Definition
Definition to come...
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