| Heartland Occupational Medicine Physicians Of Illinois S C | |
|
4117 S Water Tower Pl Suite D Mount Vernon IL 62864-6293 | |
| (618) 242-4848 | |
| (618) 242-4198 |
| Full Name | Heartland Occupational Medicine Physicians Of Illinois S C |
|---|---|
| Speciality | Family Medicine |
| Location | 4117 S Water Tower Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | Charles W Neal (PRESIDENT) |
| Authorized Official Contact | 6182424848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Occupational Medicine Physicians Of Illinois S C 4117 S Water Tower Pl Suite D Mount Vernon IL 62864-6293 Ph: (618) 242-4848 | Heartland Occupational Medicine Physicians Of Illinois S C 4117 S Water Tower Pl Suite D Mount Vernon IL 62864-6293 Ph: (618) 242-4848 |
| NPI Number | 1720057730 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 02/12/2016 |
| Medicare PECOS PAC ID | 1153300553 |
|---|---|
| Medicare Enrollment ID | O20040719000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720057730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036079719 (Illinois) | Primary |
| Provider Name | Charles Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053380683 PECOS PAC ID: 6901885227 Enrollment ID: I20040929000295 |
Anderson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-7788 Fax: 618-244-9330 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 812-450-6815 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl Ste D, Mount Vernon, IL 62864 Phone: 618-242-4848 | |
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 | |
Crossroads Physician Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864 Phone: 618-241-7207 Fax: 618-241-7210 | |
Mt Vernon Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864 Phone: 618-244-6770 Fax: 618-244-6772 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 812-450-6815 Fax: 812-450-6822 |