Crossroads Physician Corp | |
209 Crossroads Pl Suite 140 Mount Vernon IL 62864-6545 | |
(618) 241-7207 | |
(618) 241-7210 |
Full Name | Crossroads Physician Corp |
---|---|
Speciality | Family Medicine |
Location | 209 Crossroads Pl, Mount Vernon, Illinois |
Authorized Official Name and Position | Debbie T Brewer (DIRECTOR) |
Authorized Official Contact | 6154657626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crossroads Physician Corp 209 Crossrods Pl Suite 140 Mount Vernon IL 62864-6545 Ph: (618) 241-7207 | Crossroads Physician Corp 209 Crossroads Pl Suite 140 Mount Vernon IL 62864-6545 Ph: (618) 241-7207 |
NPI Number | 1194980516 |
---|---|
Provider Enumeration Date | 07/24/2008 |
Last Update Date | 07/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194980516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
207R00000X | Internal Medicine | (Illinois) | Secondary |
363L00000X | Nurse Practitioner | (Illinois) | Secondary |
News Archive
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› Verified 9 days ago
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