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Organization
JACKSON STREET FAMILY PRACTICE CENTER, LTD
Active
Organization
JACKSON STREET FAMILY PRACTICE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN STRACK D.O. (OFFICER)
(618) 998-7000
Entity
Organization
Contact information
Practice address
3331 W DEYOUNG ST, SUITE 207, MARION, IL 62959-5896
(618) 998-7000
Mailing address
PO BOX 446, MURPHYSBORO, IL 62966-0446
(618) 924-5149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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