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Organization

MARSEILLES FAMILY HEALTH CENTER, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANET BECK JAKUPCAK M.D. (OWNER)
(815) 795-2171
Entity
Organization

Contact information

Practice address
151 WASHINGTON ST, MARSEILLES, IL 61341-1484
(815) 795-2171
(815) 795-2397
Mailing address
151 WASHINGTON ST, MARSEILLES, IL 61341-1484
(815) 795-2171
(815) 795-2397

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518953520
PROVIDER NPI FOR INDIVIDU
IL
Enumeration date
01/07/2008
Last updated
01/10/2008
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