CROSSROADS PHYSICIAN CORP

MOUNT VERNON, IL
NPI1194980516
Entity TypeOrganization
Authorized ContactDEBBIE T BREWER
Director
615-465-7626
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
363L00000X Nurse Practitioner
Enumeration Date2008-07-24
Last Update Date2008-07-28
Business Address
CROSSROADS PHYSICIAN CORP
209 CROSSROADS PL SUITE 140
MOUNT VERNON, IL 62864-6545
Phone number: 618-241-7207
Mailing Address
CROSSROADS PHYSICIAN CORP
209 CROSSRODS PL SUITE 140
MOUNT VERNON, IL 62864-6545
Phone number: 618-241-7207