Mt Vernon Family Practice PC
NPI #1215141916 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1215141916
- Entity Type
- Organization
- Organization Name
- Mt Vernon Family Practice PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 10, 2007
- Last Updated
- Aug 12, 2015
Practice Location
- Address
- 4230 LINCOLNSHIRE DR STE G
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2189
- Phone
- (618) 244-6770
Authorized Official
- Name
- LINDEN R PEARSON, M.D.
- Title
- PRESIDENT
- Phone
- (618) 244-6770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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