| Lawrence L Jeckel Md Pc | |
|
2500 Galen Drive Champaign IL 61821-7038 | |
| (217) 356-0228 | |
| (217) 356-0667 |
| Full Name | Lawrence L Jeckel Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2500 Galen Drive, Champaign, Illinois |
| Authorized Official Name and Position | Lawrence Lee Jeckel (PRESIDENT) |
| Authorized Official Contact | 2173560228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence L Jeckel Md Pc 2500 Galen Drive Champaign IL 61821-7038 Ph: (217) 356-0228 | Lawrence L Jeckel Md Pc 2500 Galen Drive Champaign IL 61821-7038 Ph: (217) 356-0228 |
| NPI Number | 1003983057 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003983057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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