Individual
DR. JACQUES PAPAZIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL 62864-6293
(618) 242-0672
(618) 242-0862
Mailing address
PO BOX 1389, MOUNT VERNON, IL 62864-0028
(618) 242-0672
(618) 242-0862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027794
HEALTH ALLIANCE ID#
IL
01
—
04127654
BCBS OF IL PROVIDER ID#
IL
01
—
293973
HEALTHLINK PROVIDER ID#
IL
01
—
55563
GHP PROVIDER ID#
IL
Enumeration date
05/09/2006
Last updated
07/08/2007
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