Marseilles Family Health Center, S.C.

Key facts

NPI: 1861677015
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: MARSEILLES FAMILY HEALTH CENTER, S.C.
Practice address: 151 Washington St
Marseilles, IL 61341-1484
Phone: (815) 795-2171
Fax: (815) 795-2397
NPI assigned: Jan 7, 2008
Organization subpart: No

Authorized official

Name: Dr. Janet Beck Jakupcak, M.D.
Title: Owner
Phone: (815) 795-2171

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X		IL	Yes

Addresses

Primary practice location

151 Washington St
Marseilles, IL 61341-1484

Mailing address

151 Washington St
Marseilles, IL 61341-1484
Phone (815) 795-2171

Other identifiers

Identifier	Type	State	Issuer
1518953520	Other	IL	PROVIDER NPI FOR INDIVIDU

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2008.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1861677015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WASHINGTON ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411484",
            "telephone_number": "815-795-2171",
            "fax_number": "815-795-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WASHINGTON ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411484",
            "telephone_number": "815-795-2171",
            "fax_number": "815-795-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSEILLES FAMILY HEALTH CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "JAKUPCAK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "BECK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-795-2171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI FOR INDIVIDU",
            "identifier": "1518953520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marseilles, IL

All providers in Marseilles, IL · Family Medicine Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.