NPI 1225119167

Jonathan E Baldwin, PAC

Practitioner Medical Physician Assistant Rock Island, IL

Practice location

Address: 2701 17th St, Rock Island, IL 61201-5351
Phone: (563) 742-2054
Fax: (563) 742-3505

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 85002801 (IL)

Other Physician Assistant providers in Illinois →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001737 (IA)

Registry record

NPI: 1225119167
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 19 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.