Jackson Street Family Practice Center, Ltd
LBN: Jackson Street Family Practice Center, Ltd
Jackson Street Family Practice Center, Ltd is an health care organization with primary practice located at 3331 W Deyoung St Suite 207, Marion IL 62959-5896. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jackson Street Family Practice Center, Ltd can be contacted via phone (618) 998-7000, or through Strack, Karen via phone (618) 998-7000.
Contact Information
Primary practice address
3331 W Deyoung St Suite 207
Marion IL 62959-5896
Phone: (618) 998-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
NPI number | 1356355259 |
---|---|
LBN Legal business name | Jackson Street Family Practice Center, Ltd |
DBA Doing business as | |
Authorized official | Strack, Karen Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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