Dr Jack Keller Pc

LBN: Dr Jack Keller Pc
Dr Jack Keller Pc is an health care organization with primary practice located at 1008 West Cherry Ste F, Marion IL 62959. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dr Jack Keller Pc can be contacted via phone (618) 997-2919, or through Keller, Jack D via phone (618) 997-2919.

Contact Information

Primary practice address
1008 West Cherry Ste F Marion IL 62959
Phone: (618) 997-2919
Fax: (618) 997-6851
Website:
Map and Directions
Authorized official contact:
Name: Keller, Jack D Doctor of Medicine (MD)
Phone: (618) 997-2919

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1215011259
LBN Legal business name Dr Jack Keller Pc
DBA Doing business as
Authorized official Keller, Jack D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Nov 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers