Search › Illinois › 363AM0700X
Jason Churchill, PA
NPI 1265592455 · on the registry since 2006
Practice
- Address
- 1306 Maple St
Eldorado, IL 62930 - Phone
- (618) 273-3361
- Fax
- (618) 273-2504
- Organisation at this address
- Deaconess Specialty Physicians
Ferrell Hospital Community FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 510 Lincoln Dr, Herrin, IL
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois