Organization
JERRY L. BEGUELIN, MD, PC
Active
Other names
Irvington Friendly Care, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L BEGUELIN MD (PRESIDENT)
(618) 249-6203
Entity
Organization
Contact information
Practice address
205 HURON, IRVINGTON, IL 62848
(618) 249-6203
(618) 249-6263
Mailing address
PO BOX 190, IRVINGTON, IL 62848-0190
(618) 249-6203
(618) 249-6263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36038738
—
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245228881
NPI
IL
05
—
333462458000
—
IL
01
—
36038738
STATE LICENSE NUMBER
IL
Enumeration date
01/30/2007
Last updated
09/11/2025
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