Organization Active NPI

Salem Family Practice, SC

  • Family Medicine Physician
  • Salem, IL
National Provider Identifier
1700065851
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALEM FAMILY PRACTICE, SC
Practice address
1325 W Whittaker St
Suite #3
Salem, IL 62881-2007
Phone
(618) 740-0341
Fax
(618) 740-0343
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey B Kessler, MD
Title
President
Phone
(618) 548-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

1325 W Whittaker St
Suite #3
Salem, IL 62881-2007

Mailing address

1325 W Whittaker St
Suite #3
Salem, IL 62881-2007
Phone (618) 740-0341

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1700065851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W WHITTAKER ST",
            "address_2": "SUITE #3",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812007",
            "telephone_number": "618-740-0341",
            "fax_number": "618-740-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W WHITTAKER ST",
            "address_2": "SUITE #3",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812007",
            "telephone_number": "618-740-0341",
            "fax_number": "618-740-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM FAMILY PRACTICE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-548-1330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.