PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC
NPI 1720370778
Internal Medicine in Jacksonville, IL

Active since May 10, 2011
559 N WESTGATE AVE, JACKSONVILLE, IL 62650(217) 243-5474 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Passavant Internal Medicine Rural Health Clinic NPPES

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

PASSAVANT INTERNAL MEDICINE RURAL HEALTH CLINIC (NPI 1720370778) is a healthcare organization registered as an internal medicine in Jacksonville, Illinois and active in the NPI registry since May 2011. The organization lists Stephen G Lee, Manager, as its authorized official.

NPPES Registry Identity

NPI1720370778
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePASSAVANT PHYSICIAN ASSOCIATION
Location Address559 N WESTGATE AVEJacksonville, IL 62650-1156
Mailing Address1600 W Walnut StJacksonville, IL 62650-1136 · (217) 245-9541
Organization SubpartNo
Authorized OfficialStephen G LeeManager · (217) 479-5890
Enumeration DateMay 10, 2011
Last NPPES UpdateJuly 6, 2011
NPI 1720370778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IL · 036091905 Licensed in IL · 036056832
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209004842 (IL)
559 N WESTGATE AVE, Jacksonville, IL 62650

Other Names 1

Doing Business AsPassavant Internal Medicine Rural Health Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Clinic/Center (Rural Health)
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Audiologist
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
Clinic/Center (Mental Health (Including Community Mental Health Center))
559 N WESTGATE AVE
JACKSONVILLE, IL 62650

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 Passavant Physician Association's NPI number?

The NPI number for Passavant Physician Association is 1720370778. It was assigned to this organization in the NPPES registry on May 10, 2011. The provider is doing business as Passavant Internal Medicine Rural Health Clinic.

Where is Passavant Physician Association located?

Passavant Physician Association is located at 559 N Westgate Ave, Jacksonville, IL 62650. The listed phone number is (217) 243-5474.

What is Passavant Physician Association's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Passavant Physician Association was last updated on July 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.