| NPI | 1316663602 |
|---|---|
| Doing Business As | DEACONESS ILLINOIS CROSSROADS FAMILY CLINIC MT. VERNON |
| Doing Business As | DEACONESS ILLINOIS RURAL HEALTH CLINIC MT. VERNON |
| Doing Business As | CROSSROADS INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | AMBER LIPE CFO 618-998-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-08-07 |