Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Medicine of McLeansboro LLC

Organization Family Nurse Practitioner · NPI 1801920889

Family Medicine of McLeansboro LLC provides Family Nurse Practitioner services in McLeansboro, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

208 S Washington St
McLeansboro, IL 62859-1139
Phone: (618) 643-2835
Fax: (618) 643-2891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X (IL)

Record details

NPI number1801920889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Davenport — Manager · (618) 927-8714
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address208 South Washington Street, McLeansboro, IL 62859