Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Vernon Family Practice PC

Organization Family Medicine Physician · NPI 1215141916

Mt Vernon Family Practice PC provides Family Medicine Physician services in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4230 Lincolnshire Dr Ste G
Mount Vernon, IL 62864-2189 Not confirmed with CMS for 11 years — call before visiting
Phone: (618) 244-6770
Fax: (618) 244-6772
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 036063418 (IL)

Record details

NPI number1215141916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linden Pearson — President · (618) 244-6770
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 12, 2015
Mailing address4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864-2189

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