Search › Illinois › 363LF0000X
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 UniversityInferred 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