Organization
HEALTHCARE NETWORK ASSOCIATES
Active
Organization
HEALTHCARE NETWORK ASSOCIATES
Active
Other names
Jacksonville Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T CLARK (PRESIDENT AND CEO)
(217) 788-3340
Entity
Organization
Contact information
Practice address
800 W STATE ST, JACKSONVILLE, IL 62650-1910
(217) 243-9471
(217) 243-5359
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
03/06/2008
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