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1083811764
JASON A. KEGG
SPRINGFIELD, IL
NPI
1083811764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036.125501)
Enumeration Date
2007-06-27
Last Update Date
2020-08-28
Business Address
Dr. JASON A. KEGG M.D.
701 N. 1ST STREET
SPRINGFIELD, IL 62702
Phone number: 217-545-7409
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Mailing Address
Dr. JASON A. KEGG M.D.
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-7409
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