CROSSROADS PHYSICIAN CORP

Internal Medicine

Active Organization
NPI: 1790779874

Practice Address

4101 N WATER TOWER PL
Mount Vernon, IL 62864

Phone: (618) 244-4313

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No -
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1790779874 is the National Provider Identifier for CROSSROADS PHYSICIAN CORP, a Internal Medicine provider located in Mount Vernon, IL. This NPI was enumerated on September 6, 2005.

Quick Facts

NPI
1790779874
Type
Organization
Enumerated
Sep 6, 2005
Last Updated
Oct 30, 2007

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