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

MODERT FAMILY PRACTICE, LTD.

Active Organization

MODERT FAMILY PRACTICE, LTD. is a Family Medicine organization located in MOUNT VERNON, Illinois. NPI 1255311700 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT VERNON, IL

Registration Details

NPI Number
1255311700
Provider Type
Organization
NPI Issued
Jan 19, 2006 (20.55352320368 yrs)
Last Updated
Nov 4, 2020

Practice Information

Address
1 DOCTORS PARK RD STE C
MOUNT VERNON, IL, 628646251
Browse IL providers · Browse ZIP 62864
Phone
6182441234
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.