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Organization

HEALTHCARE NETWORK ASSOCIATES OF SANGAMON

Active
Other names
Jacksonville Pediatric Associates
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM T KENDRICK JR. (DIRECTOR)
(217) 757-7493
Entity
Organization

Contact information

Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-5437
(217) 243-3113
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 757-7491
(217) 757-2021

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/14/2006
Last updated
08/22/2020
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