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Jason West, MD
Family Medicine Physician in Harrisburg, Illinois
NPI 1760831218

Jason West is a Family Medicine Physician based in Carbondale, IL. Jason West practices in Harrisburg, IL and has the professional credentials of MD. The NPI Number for Jason West is 1760831218 and holds a License No. 036148248 (Illinois).

The current practice location address for Jason West is 117 E Clark St, Harrisburg, IL and can be reached out via phone at 618-252-8625 and via fax at 618-351-4859.

Location: 117 E Clark St, Harrisburg, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760831218
Provider Name
Jason West
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
117 E Clark St, Harrisburg, IL, 62902-3988
Phone Number
618-252-8625
Fax Number
618-351-4859
Provider Enumeration Date
06/06/2016
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036148248 05 IL
institution
Provider Business Practice Location Address Details
Address
117 E Clark St
City
Harrisburg
State
Illinois
Zip
62946
Phone Number
618-252-8625
Fax Number
618-351-4859
person
Provider Business Mailing Address Details
Address
117 E Clark St
City
Harrisburg
State
Illinois
Zip
62946
Phone Number
618-252-8625
Fax Number
618-351-4859
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036148248 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
036148248 (Illinois)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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