| Jacksonville Pediatric Associates | |
|
1600 W Walnut St Jacksonville IL 62650-1136 | |
| (217) 245-5437 | |
| (217) 243-3113 |
| Full Name | Jacksonville Pediatric Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1600 W Walnut St, 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 Pediatric Associates Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Jacksonville Pediatric Associates 1600 W Walnut St Jacksonville IL 62650-1136 Ph: (217) 245-5437 |
| NPI Number | 1003979360 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003979360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Siu Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Westgate Ave, Jacksonville, IL 62650 Phone: 217-243-8455 | |
Central Illinois Snf Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 W Walnut St, Jacksonville, IL 62650 Phone: 630-336-5620 | |
Springfield Clinic Jacksonville Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W Morton Ave, Jacksonville, IL 62650 Phone: 217-243-6520 | |
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Jacksonville Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113 |