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

Heartland Occupational Medicine Physicians of Illinois S C

Organization Family Medicine Physician · NPI 1720057730

Heartland Occupational Medicine Physicians of Illinois S C provides Family Medicine Physician services in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

4117 S Water Tower Pl Ste D
Mount Vernon, IL 62864-6293 Not confirmed with CMS for 10 years — call before visiting
Phone: (618) 242-4848
Fax: (618) 242-4198
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036079719 (IL)

Record details

NPI number1720057730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Neal — President · (618) 242-4848
Other names Ultimed Plus
NPI enumeratedMarch 14, 2006
Last updated in NPPESFebruary 12, 2016
Mailing address4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6293

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