Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KING CITY PHYSICIAN COMPANY, LLC
Active OrganizationKING CITY PHYSICIAN COMPANY, LLC is a Plastic Surgery within the Head & Neck organization located in MOUNT VERNON, Illinois. NPI 1134470859 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1134470859
- Provider Type
- Organization
- NPI Issued
- Sep 20, 2012 (13.884887793391 yrs)
- Last Updated
- Jul 7, 2023
Practice Information
- Address
-
4117 S WATER TOWER PLSUITE CMOUNT VERNON, IL, 628646567Browse IL providers · Browse ZIP 62864
- Phone
- 6182420672
- Fax
- 6182420862
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Adolescent Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.