OrganizationActive
Dr Jack Keller PC
NPI 1215011259 · Family Medicine Physician · Marion, IL
Provider details
- NPI number
- 1215011259
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Keller, President(618) 997-2919
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1008 West Cherry
Ste F
Marion, IL 62959
Phone: (618) 997-2919
Fax: (618) 997-6851
Street-level locationGet directions
Mailing address
1008 West Cherry Ste F
Marion, IL 62959
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.