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JACK D KELLER M.D.
NPI 1467636605
Family Medicine in Marion, IL

Active since December 24, 2007
1008 W. CHERRY ST., SUITE F, MARION, IL 62959(618) 997-2919(618) 997-6851 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack D Keller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK D KELLER M.D. (NPI 1467636605) is an individual family medicine provider in Marion, Illinois, licensed in Illinois (036056531) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1467636605
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK D KELLERCredential: M.D.
Location Address1008 W. CHERRY ST., SUITE FMarion, IL 62959
Mailing Address1008 W Cherry St Ste FMarion, IL 62959-1998 · (618) 997-2919 · Fax (618) 997-6851
Phone(618) 997-2919
Fax(618) 997-6851
Sole ProprietorYes
Enumeration DateDecember 24, 2007
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1467636605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036056531
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 is not limited by age, sex, organ system, or disease entity.
1008 W. CHERRY ST., Marion, IL 62959
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Other Identifiers 3

Medicaid036056531IL
Medicare UPIND14173
Medicare PIN637910IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Keller's NPI number?

The NPI number for Jack Keller is 1467636605. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Jack Keller located?

Jack Keller practices at 1008 W. Cherry St. Suite F, Marion, IL 62959. The listed phone number is (618) 997-2919.

What is Jack Keller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Keller was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.