Crossroads Internal Medicine | |
4101 N Water Tower Pl Mount Vernon IL 62864-6296 | |
(618) 244-4313 | |
(618) 244-9592 |
Full Name | Crossroads Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 4101 N Water Tower Pl, Mount Vernon, Illinois |
Authorized Official Name and Position | James P Wright (SR DIRECTOR) |
Authorized Official Contact | 6154657587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Internal Medicine Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Crossroads Internal Medicine 4101 N Water Tower Pl Mount Vernon IL 62864-6296 Ph: (618) 244-4313 |
NPI Number | 1255724043 |
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Provider Enumeration Date | 03/18/2015 |
Last Update Date | 03/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255724043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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King City Physician Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
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