Organization
JACKSONVILLE IL WELLNESS
Active
Other names
Jacksonville Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE S. O'NEIL FNP (OWNER)
(217) 204-8081
Entity
Organization
Contact information
Practice address
1521 W WALNUT ST STE D, JACKSONVILLE, IL 62650-1153
(217) 279-5815
(217) 279-5816
Mailing address
1329 W COLLEGE AVE, JACKSONVILLE, IL 62650-2216
(217) 204-8081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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