MT VERNON FAMILY PRACTICE PC

MOUNT VERNON, IL
NPI1215141916
Entity TypeOrganization
Authorized ContactLINDEN R PEARSON
President
618-244-6770
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036063418)
Enumeration Date2007-05-10
Last Update Date2015-08-12
Business Address
MT VERNON FAMILY PRACTICE PC
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864-2189
Phone number: 618-244-6770
Mailing Address
MT VERNON FAMILY PRACTICE PC
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864-2189
Phone number: 618-244-6770
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