MT VERNON NEUROLOGY, S.C.

MOUNT VERNON, IL
NPI1720079015
Entity TypeOrganization
Authorized ContactTOMASZ A KOSIERKIEWICZ
Md
618-242-7350
Organization Subpart ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date2005-11-04
Last Update Date2012-07-17
Business Address
MT VERNON NEUROLOGY, S.C.
2605 MAIN ST
MOUNT VERNON, IL 62864-2372
Phone number: 618-242-7350
Mailing Address
MT VERNON NEUROLOGY, S.C.
PO BOX 2277
MOUNT VERNON, IL 62864-0044
Phone number: 618-242-7350