SearchIllinois363LF0000X

Tamara Breckon

NPI 1740777093 · on the registry since 2018

Practice

Address
425 E State St Ste 100
Jacksonville, IL 62650
Phone
(217) 408-1195
Fax
(217) 408-1231
Organisation at this address
County Of Morgan Health Dept
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 1515 W Walnut St Ste 2, Jacksonville, IL
  • 903 S State St, Jerseyville, IL

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-05

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