JACKSONVILLE, LLC – Family Medicine Physician, NPI 1740431345
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACKSONVILLE, LLC
3428, South Spring Street, Southern View, Sangamon County, Illinois, 62704, United States
SPRINGFIELD, IL 627083428
Phone: (800) 577-5368
Fax: (217) 757-2021
Type: Mailing
1602, West Lafayette Avenue, Jacksonville, Morgan County, Illinois, 62650, United States
JACKSONVILLE, IL 626501007
Phone: (217) 243-7200
Fax: (217) 243-6165
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62708)
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