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Healthcare Network Associates

Clinic/Center, Multi-Specialty in Jacksonville, IL. Organization (NPI-2).

NPI number1003979360
StatusActive
Last updated in NPPESMar 6, 2008

Details

NPI
1003979360
Entity type
Organization (NPI-2)
Legal business name
Healthcare Network Associates
Organization subpart
No
Enumeration date
Dec 18, 2006
Last updated
Mar 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Other names

  • Jacksonville Pediatric Associates (Doing Business As)

Practice location

1600 W Walnut St
Jacksonville, IL 62650-1136

Phone 217-245-5437 · Fax 217-243-3113

Mailing address

Po Box 3428
Springfield, IL 62708-3428

Phone 800-577-5368 · Fax 217-757-2021

Authorized official

Robert T Clark
President And Ceo
2177883340

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Other Multi-Specialty Clinic/Center providers in Jacksonville, IL

All 5 Multi-Specialty Clinic/Center providers in Jacksonville · All 515 providers in Jacksonville

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