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

Luke McKenzie Conklin

Individual provider Family Medicine Physician · NPI 1336641521

Luke McKenzie Conklin is a Family Practice in O Fallon, Illinois. Qualified in 2020, 6 years ago. Practices with Vituity - Illinois Auc LLP, a 34-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2018

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4792
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 036164625 (IL)

Record details

NPI number1336641521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vituity - Illinois Auc Llp — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in O Fallon