Jackson Street Family Practice Center, Ltd in Marion - Family Medicine
Jackson Street Family Practice Center, Ltd - NPI 1356355259
Jackson Street Family Practice Center, Ltd is a Family Medicine in Marion, Illinois. Jackson Street Family Practice Center, Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackson Street Family Practice Center, Ltd is 1356355259. The last update date is 2020-08-22.
Jackson Street Family Practice Center, Ltd's current location address is 3331 W Deyoung St, Marion, Illinois. You can contact this provider via phone number 6189987000. The mailing address for Jackson Street Family Practice Center, Ltd is 3331 W Deyoung St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Street Family Practice Center, Ltd |
|---|---|
| Address | 3331 W Deyoung St, Marion, Illinois |
| Phone Number | 6189987000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Strack Karen |
| Credentials | D.O. |
| Telephone Number | 6189987000 |
NPI Number Detail
| NPI Number | 1356355259 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3331 W Deyoung St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629595896 |
| Phone Number | 6189987000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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 i |
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Post Comment/ Review Below
What is the Jackson Street Family Practice Center, Ltd's unique identification number?
The Jackson Street Family Practice Center, Ltd has been assigned the NPI (National Provider Identifier) Number 1356355259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jackson Street Family Practice Center, Ltd's facilities are geographically located?
The facilities of Jackson Street Family Practice Center, Ltd are physically situated at the following location: 3331 W Deyoung St, Marion, IL, 629595896.
What is Jackson Street Family Practice Center, Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson Street Family Practice Center, Ltd is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356355259 to Jackson Street Family Practice Center, Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1356355259 to Jackson Street Family Practice Center, Ltd on 2006-07-28.
When was the information regarding Jackson Street Family Practice Center, Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jackson Street Family Practice Center, Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.