MODERT FAMILY PRACTICE, LTD.

MOUNT VERNON, IL
NPI1255311700
Entity TypeOrganization
Authorized ContactSARA K. MODERT
President
618-244-1234
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-01-19
Last Update Date2020-11-04
Business Address
MODERT FAMILY PRACTICE, LTD.
1 DOCTORS PARK RD STE C
MOUNT VERNON, IL 62864-6251
Phone number: 618-244-1234
Mailing Address
MODERT FAMILY PRACTICE, LTD.
PO BOX 802
MOUNT VERNON, IL 62864-0017
Phone number: 618-244-1234
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