| Jacksonville Family Medical Associates | |
|
1602 W Lafayette Ave Jacksonville IL 62650-1007 | |
| (217) 243-7200 | |
| (217) 243-6165 |
| Full Name | Jacksonville Family Medical Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1602 W Lafayette Ave, Jacksonville, Illinois |
| Authorized Official Name and Position | Robert T Clark (PRESIDENT AND CEO) |
| Authorized Official Contact | 2177883340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Family Medical Associates Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Jacksonville Family Medical Associates 1602 W Lafayette Ave Jacksonville IL 62650-1007 Ph: (217) 243-7200 |
| NPI Number | 1124181482 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124181482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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