Organization
JACKSON STREET FAMILY PRACTICE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN STRACK D.O. (OFFICER)
(618) 998-7000
Entity
Organization
Contact information
Practice address
3331 W DEYOUNG ST, SUITE 207, MARION, IL 62959-5896
(618) 998-7000
Mailing address
PO BOX 446, MURPHYSBORO, IL 62966-0446
(618) 924-5149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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