Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LESLIE JACKSON, MD
Active
Organization
LESLIE JACKSON, MD
Active
Other names
TAYLORVILLE FAMILY CARE, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE JACKSON MD (PRESIDENT)
(217) 824-3757
Entity
Organization
Contact information
Practice address
115 E PLEASANT ST, TAYLORVILLE, IL 62568-1560
(217) 824-3757
(217) 824-9604
Mailing address
115 E PLEASANT ST, P O BOX 318, TAYLORVILLE, IL 62568-1560
(217) 824-3757
(217) 824-9604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036072876
IL
Other
Enumeration date
01/30/2008
Last updated
06/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up