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Christopher Wilson Modert, DO
Family Medicine Physician in Mount Vernon, Illinois
NPI 1477527604

Christopher Wilson Modert is a Family Medicine Physician based in Mount Vernon, IL. Christopher Wilson Modert practices in Mount Vernon, IL and has the professional credentials of DO. The NPI Number for Christopher Wilson Modert is 1477527604 and holds a License No. 036079242 (Illinois).

The current practice location address for Christopher Wilson Modert is 1 Doctors Park Rd Ste C, Mount Vernon, IL and can be reached out via phone at 618-244-1234.

Location: 1 Doctors Park Rd Ste C, Mount Vernon, IL, 62864-0017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477527604
Provider Name
Christopher Wilson Modert
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1 Doctors Park Rd Ste C, Mount Vernon, IL, 62864-0017
Phone Number
618-244-1234
Fax Number
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036079242 05 IL
institution
Provider Business Practice Location Address Details
Address
1 Doctors Park Rd Ste C
City
Mount Vernon
State
Illinois
Zip
62864-6251
Phone Number
618-244-1234
Fax Number
person
Provider Business Mailing Address Details
Address
1 Doctors Park Rd Ste C
City
Mount Vernon
State
Illinois
Zip
62864-6251
Phone Number
618-244-1234
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036079242 (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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