The Little Clinic Illinois in Mount Vernon - Family
The Little Clinic Illinois - NPI 1063461887
The Little Clinic Illinois is a Family in Mount Vernon, Illinois. The Little Clinic Illinois practices all healthcare services and medical treatments related to Family. The NPI Number for The Little Clinic Illinois is 1063461887. The last update date is 2020-08-22.
The Little Clinic Illinois's current location address is 415 S 42nd St, Mount Vernon, Illinois. You can contact this provider via phone number 6182469969. The mailing address for The Little Clinic Illinois is 415 S 42nd St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Little Clinic Illinois |
|---|---|
| Address | 415 S 42nd St, Mount Vernon, Illinois |
| Phone Number | 6182469969 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Declue Cay Mary |
| Credentials | NP |
| Telephone Number | 6182469969 |
NPI Number Detail
| NPI Number | 1063461887 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 415 S 42nd St |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628646266 |
| Phone Number | 6182469969 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identification code assigned to The Little Clinic Illinois by the Centers for Medicare & Medicaid Services?
The The Little Clinic Illinois has been issued the NPI (National Provider Identifier) 1063461887. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where The Little Clinic Illinois is physically located?
The The Little Clinic Illinois is physically situated at the following address: 415 S 42Nd St, Mount Vernon, IL, 628646266.
What is the area of specialization for The Little Clinic Illinois, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for The Little Clinic Illinois is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the The Little Clinic Illinois receive its 1063461887 assignment from the Centers for Medicare & Medicaid Services?
The The Little Clinic Illinois was assigned its 1063461887 by the Centers for Medicare & Medicaid Services on 2006-05-09.
When was the information regarding The Little Clinic Illinois, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to The Little Clinic Illinois, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.