CHRISTOPHER WILSON MODERT

MOUNT VERNON, IL
NPI1477527604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036079242)
Enumeration Date2006-02-14
Last Update Date2020-11-04
Business Address
CHRISTOPHER WILSON MODERT D.O.
1 DOCTORS PARK RD STE C
MOUNT VERNON, IL 62864-6251
Phone number: 618-244-1234
Mailing Address
CHRISTOPHER WILSON MODERT D.O.
PO BOX 802
MOUNT VERNON, IL 62864-0017
Phone number: 618-244-1234
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