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Mt Vernon Family Practice Pc
Family Medicine Physician in Mount Vernon, Illinois
NPI 1215141916

Mt Vernon Family Practice Pc is a Family Medicine Physician based in Mount Vernon, IL. Mt Vernon Family Practice Pc practices in Mount Vernon, IL. The NPI Number for Mt Vernon Family Practice Pc is 1215141916 and holds a License No. 036063418 (Illinois).

The current practice location address for Mt Vernon Family Practice Pc is 4230 Lincolnshire Dr Ste G, Mount Vernon, IL and can be reached out via phone at 618-244-6770 and via fax at 618-244-6772.

Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL, 62864-2189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215141916
Provider Name
Mt Vernon Family Practice Pc
Credential
Provider Entity Type
Organization
Address
4230 Lincolnshire Dr Ste G, Mount Vernon, IL, 62864-2189
Phone Number
618-244-6770
Fax Number
618-244-6772
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174857 01 IL HEALTHLINK PPO HMO
036063418 05 IL
080168274 01 IL MEDICARE RAILROAD NUMBER
355486181 01 IL TRICARE PROVIDER NUMBER
04127526 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
4230 Lincolnshire Dr Ste G
City
Mount Vernon
State
Illinois
Zip
62864-2189
Phone Number
618-244-6770
Fax Number
618-244-6772
person
Provider Business Mailing Address Details
Address
4230 Lincolnshire Dr Ste G
City
Mount Vernon
State
Illinois
Zip
62864-2189
Phone Number
618-244-6770
Fax Number
618-244-6772
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036063418 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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