| Advanced Internal Medicine, Llc | |
|
605 N 12th St Hospitalist Office Mount Vernon IL 62864-2857 | |
| (618) 241-4016 | |
| (618) 241-3837 |
| Full Name | Advanced Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 605 N 12th St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Loren Jay Chassels (OWNER) |
| Authorized Official Contact | 6182414016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine, Llc Po Box 442 Highland IL 62249-0442 Ph: (618) 241-4016 | Advanced Internal Medicine, Llc 605 N 12th St Hospitalist Office Mount Vernon IL 62864-2857 Ph: (618) 241-4016 |
| NPI Number | 1508063405 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508063405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036116700 (Illinois) | Primary |
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