Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Street Family Practice Center, Ltd

Organization Family Medicine Physician · NPI 1356355259

Jackson Street Family Practice Center, Ltd provides Family Medicine Physician services in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3331 W Deyoung St Ste 207
Marion, IL 62959-5896
Phone: (618) 998-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1356355259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Strack — Officer · (618) 998-7000
NPI enumeratedJuly 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 446, Murphysboro, IL 62966-0446

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