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NPI Code Detail

MEDICARE: DR. JAMES LEON JABLONSKI II M.D.

MEDICARE: DR. JAMES LEON JABLONSKI II M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036-100341IL

General Provider Information

NPI Number : 1194712513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES LEON JABLONSKI II M.D.
Provider Business Mailing Address
First Line : 1116 HARTMAN LN
Second Line :
City : SHILOH
State : IL
Zip : 62221-8014
Country : US
Telephone Number : 618-641-9011
Fax Number : 618-641-9017
Provider Business Practice Location Address
First Line : 1116 HARTMAN LN
Second Line :
City : SHILOH
State : IL
Zip : 62221-8014
Country : US
Telephone Number : 618-641-9011
Fax Number : 618-641-9017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 03/11/2026

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