JACKSON STREET FAMILY PRACTICE CENTER, LTD – NPI #1356355259
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

JACKSON STREET FAMILY PRACTICE CENTER, LTD is a provider located in MARION, IL. NPPES has assigned the NPI number 1356355259 to JACKSON STREET FAMILY PRACTICE CENTER, LTD on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON STREET FAMILY PRACTICE CENTER, LTD below.

NPI Profile for
JACKSON STREET FAMILY PRACTICE CENTER, LTD

NPI Number
1356355259
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON STREET FAMILY PRACTICE CENTER, LTD
Primary location
3331 W DEYOUNG ST
SUITE 207
MARION, IL 62959-5896
Phone: (618) 998-7000 Fax:
Mailing address
PO BOX 446
MURPHYSBORO, IL 62966-0446
Phone: (618) 924-5149 Fax:
Organization Subpart
No
Authorized Official
KAREN STRACK
OFFICER
Phone: (618) 998-7000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.