Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER WILSON MODERT, D.O.
ActiveCHRISTOPHER WILSON MODERT, D.O. is a Family Medicine healthcare provider located in MOUNT VERNON, Illinois. NPI 1477527604 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1477527604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.482395565177 yrs)
- Last Updated
- Nov 4, 2020
- License
-
036079242 (IL)
Practice Information
- Address
-
1 DOCTORS PARK RD STE CMOUNT VERNON, IL, 628646251Browse IL providers · Browse ZIP 62864
- Phone
- 6182441234
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MOUNT VERNON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. SUZANNE E ALT | DO | 1811995566 |
| DR. MURKE FRANKLIN HARRISON | DO LTD | 1003807157 |
| DR. SARA KNEEDLER MODERT | D.O. | 1700866258 |
| DR. JEFFREY R BARRA | M.D. | 1679548713 |
| DR. CHARLES W NEAL | M.D. | 1053380683 |
| DR. JACQUES PAPAZIAN | M.D. | 1366491193 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.