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Organization
JACKSONVILLE IL WELLNESS
Active
Organization
JACKSONVILLE IL WELLNESS
Active
Other names
Jacksonville Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE S. O'NEIL FNP (OWNER)
(217) 204-8081
Entity
Organization
Contact information
Practice address
1521 W WALNUT ST STE D, JACKSONVILLE, IL 62650-1153
(217) 279-5815
(217) 279-5816
Mailing address
1329 W COLLEGE AVE, JACKSONVILLE, IL 62650-2216
(217) 204-8081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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