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Search › Illinois › 207Q00000X

Jack Keller, M.D

NPI 1467636605 · on the registry since 2007 · sole proprietor

Practice

Address
1008 W. Cherry St.
Suite F
Marion, IL 62959
Phone
(618) 997-2919
Fax
(618) 997-6851
Organisation at this address
Marion Medical Xray
Core Lab Services, Llc
Harrison Healthcare Pllc
Naturalmed Apothecary, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-20

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