Jac Stores Inc
Specialty details in registry · Cerro Gordo, IL
At a glance
407 S Jackson St, Cerro Gordo, IL 61818-4360
NPPES record updated Apr 8, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
407 S Jackson StCerro Gordo, IL 61818-4360
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Jan 19, 2017
- Record updated
- Apr 8, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
3336C0003X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
407 S Jackson StCerro Gordo, IL 61818-4360
- Phone
- (217) 763-6161
- Fax
- (217) 763-6134
Mailing address
2245 W MOUND RDDECATUR, IL 625269367
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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