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Passavant Physician Association

Internal Medicine Physician in Jacksonville, IL · enumerated 2011 · authorized official Stephen Lee, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720370778

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Registry record

Entity type Organization (Type 2)
Legal business name Passavant Physician Association
Other name <Unavail>
Practice address 559 N Westgate Ave, Jacksonville, IL, 62650
Phone (217) 243-5474
Enumeration date May 10, 2011
Last updated in NPPES Jul 6, 2011

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036091905 (IL) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036056832 (IL) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209004842 (IL) Secondary

Authorized official

Name Stephen Lee
Title Manager
Phone (217) 479-5890

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Passavant Physician Association?
Passavant Physician Association is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-06.