Jaclyn Hake, PA-C

NPI 1497994727 · on the registry since 2009

Practice

Address: 715 Broadway St
Gillespie, IL 62033
Phone: (217) 839-2689
Fax: (217) 839-2689
Organisation at this address: Macoupin Family Practice Center, Llp
Macoupin Family Practice Centers Llp
Macoupin Family Practice Centers, Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-04-11

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