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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MT VERNON FAMILY PRACTICE PC

Active Organization

MT VERNON FAMILY PRACTICE PC is a Family Medicine organization located in MOUNT VERNON, Illinois. NPI 1215141916 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT VERNON, IL

Registration Details

NPI Number
1215141916
Provider Type
Organization
NPI Issued
May 10, 2007 (19.249306839749 yrs)
Last Updated
Aug 12, 2015
License
036063418 (IL)

Practice Information

Address
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL, 628642189
Browse IL providers · Browse ZIP 62864
Phone
6182446770
Fax
6182446772
Primary Specialty
Family Medicine
207Q00000X
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.