Individual
DR. JASON A. KEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 545-7409
(217) 545-2711
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-7409
(217) 545-2711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.125501
IL
Other
Enumeration date
06/27/2007
Last updated
08/28/2020
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