Passavant Physician Association
NPI 1720370778 · Internal Medicine Physician · Jacksonville, IL
Passavant Physician Association is a Internal Medicine Physician organization in Jacksonville, IL (NPI 1720370778).
Provider details
- NPI number
- 1720370778
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Lee, Manager(217) 479-5890
- License
- 036056832 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Doing business as
- Passavant Internal Medicine Rural Health Clinic
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2011-07-06
Frequently asked questions
- What is Passavant Physician Association's NPI number?
- Passavant Physician Association's National Provider Identifier (NPI) is 1720370778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Passavant Physician Association?
- Passavant Physician Association is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Passavant Physician Association located?
- Passavant Physician Association's practice location on file with NPPES is 559 N Westgate Ave, Jacksonville, IL 62650-1156.
- What is Passavant Physician Association's phone number?
- The practice phone number listed in the NPPES registry for Passavant Physician Association is (217) 243-5474.
- Who is the authorized official for Passavant Physician Association?
- The authorized official listed on Passavant Physician Association's NPPES record is Stephen Lee, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Passavant Physician Association's NPI active?
- Yes — Passavant Physician Association's NPI (1720370778) is active in the NPPES registry as of the last update on 2011-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.