Organization
LAWRENCE L JECKEL MD PC
Active
Organization
LAWRENCE L JECKEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE LEE JECKEL MD (PRESIDENT)
(217) 356-0228
Entity
Organization
Contact information
Practice address
2500 GALEN DRIVE, CHAMPAIGN, IL 61821-7038
(217) 356-0228
(217) 356-0667
Mailing address
2500 GALEN DRIVE, CHAMPAIGN, IL 61821-7038
(217) 356-0228
(217) 356-0667
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
04/04/2008
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