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Organization

MISKELL MEDICAL LLC

Active
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Organization

MISKELL MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA R MISKELL (IFPAPN-BC)
(815) 431-1122
Entity
Organization

Contact information

Practice address
218 W MADISON ST, OTTAWA, IL 61350-2819
(815) 431-1122
(815) 431-0318
Mailing address
218 W MADISON ST, OTTAWA, IL 61350-2819
(815) 431-1122
(877) 503-2851

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
209009286
IL
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1710256631
INDIVIDUAL NPI
IL
Enumeration date
12/14/2015
Last updated
01/30/2026
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