MEDICARE: JACKSONVILLE SCHOOL DIST 117

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1215139787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKSONVILLE SCHOOL DIST 117

Provider Business Mailing Address
First Line	:	516 JORDAN ST
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-1997
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 JORDAN ST
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-1997
Country	:	US
Telephone Number	:	217-245-7174
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GINA ECKHOUSE
Credential	:
Telephone Number	:	217-245-7174

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1144643917 — MAGGIE ELIZABETH DUNN LPC, NCC, CPCS
Practice Location Address:

11849 PALM BAY PKWY APT 2220
JACKSONVILLE, FL
32256-1997

Practice Phone: 252-245-2590
Practice Fax:

1518490069 — DR. VIKRAM ADITYA BALA DPM
Practice Location Address:

1914 SOUTHSIDE BLVD STE 1
JACKSONVILLE, FL
32216-1997

Practice Phone: 904-726-9901
Practice Fax: 904-224-2002

1568184976 — CARA MARIE CRAIN FNP-C
Practice Location Address:

15 FOUNDERS LN
JACKSONVILLE, IL
62650-3919

Practice Phone: 217-291-1041
Practice Fax:

1073228664 — SPRINGFIELD CLINIC LLP
Practice Location Address:

1000 W MORTON AVE
JACKSONVILLE, IL
62650-3152

Practice Phone: 217-243-6520
Practice Fax:

1740282797 — DR. PAUL VICTOR KOWALSKI MD
Practice Location Address:

2000 W MORTON AVE
JACKSONVILLE, IL
62650-2623

Practice Phone: 217-245-6814
Practice Fax: 217-245-0375

1609873249 — DR. CHARLES MILTON SHEAFF MD
Practice Location Address:

1600 W WALNUT ST , EAST WING 2ND FLOOR
JACKSONVILLE, IL
62650-1136

Practice Phone: 217-479-5821
Practice Fax: 217-243-7406

Directions to “JACKSONVILLE SCHOOL DIST 117 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.