Christopher Wilson Modert, D.O.
NPI #1477527604 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1477527604
- Entity Type
- Individual
- Name
- Christopher Wilson Modert, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Feb 14, 2006
- Last Updated
- Nov 4, 2020
Practice Location
- Address
- 1 DOCTORS PARK RD STE C
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6251
- Phone
- (618) 244-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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