Mercy Clinic Illinois, LLC

NPI #1164089124 in Columbia, Illinois

Provider Information

NPI Number: 1164089124
Entity Type: Organization
Organization Name: Mercy Clinic Illinois, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2019
Last Updated: Apr 28, 2025

Practice Location

Address: 1019 VALMEYER RD
City: Columbia
State: Illinois
ZIP Code: 62236-4123
Phone: (314) 543-5244

Authorized Official

Name: KERRY DUNGER
Title: EXECUTIVE DIRECTOR - FINANCE
Phone: (314) 364-3707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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