Mt Vernon Family Practice Pc in Mount Vernon - Family Medicine
Mt Vernon Family Practice Pc - NPI 1215141916
Mt Vernon Family Practice Pc is a Family Medicine in Mount Vernon, Illinois. Mt Vernon Family Practice Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mt Vernon Family Practice Pc is 1215141916. The last update date is 2015-08-12.
Mt Vernon Family Practice Pc's current location address is 4230 Lincolnshire Dr Ste G, Mount Vernon, Illinois. You can contact this provider via phone number 6182446770 and fax number 6182446772. The mailing address for Mt Vernon Family Practice Pc is 4230 Lincolnshire Dr Ste G, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mt Vernon Family Practice Pc |
|---|---|
| Address | 4230 Lincolnshire Dr Ste G, Mount Vernon, Illinois |
| Phone Number | 6182446770 |
| Fax Number | 6182446772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pearson R Linden |
| Credentials | M.D. |
| Telephone Number | 6182446770 |
NPI Number Detail
| NPI Number | 1215141916 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2015-08-12 |
Provider Mailing Address Detail
| Address | 4230 Lincolnshire Dr Ste G |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642189 |
| Phone Number | 6182446770 |
| Fax Number | 6182446772 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36063418 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174857 | IL | HEALTHLINK PPO HMO | |
| 36063418 | IL | -- | |
| 80168274 | IL | MEDICARE RAILROAD NUMBER | |
| 355486181 | IL | TRICARE PROVIDER NUMBER | |
| 4127526 | IL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Mt Vernon Family Practice Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Mt Vernon Family Practice Pc has been assigned the NPI (National Provider Identifier) 1215141916. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mt Vernon Family Practice Pc?
The Mt Vernon Family Practice Pc is physically situated at 4230 Lincolnshire Dr Ste G, in the city of Mount Vernon, state of IL, with the postal code 628642189.
What is Mt Vernon Family Practice Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mt Vernon Family Practice Pc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Mt Vernon Family Practice Pc receive its 1215141916 assignment from the Centers for Medicare & Medicaid Services?
The Mt Vernon Family Practice Pc was assigned its 1215141916 by the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the details related to Mt Vernon Family Practice Pc most recently updated or revised?
The information pertaining to Mt Vernon Family Practice Pc, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-12.
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