MERCY CLINIC SURGICAL SPECIALISTS-ILLINOIS LLC
NPI 1043713886
Surgery in Maryville, IL

Q: What is Mercy Clinic Surgical Specialists-Illinois LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since March 16, 2018

2227 VADALABENE DR STE 200, MARYVILLE, IL 62062(618) 288-2052 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2019, Mar 16, 2018 (2 updates tracked since 2018).

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About Mercy Clinic Surgical Specialists-illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY CLINIC SURGICAL SPECIALISTS-ILLINOIS LLC (NPI 1043713886) is a healthcare organization registered as a surgery in Maryville, Illinois and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Maryville and lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1043713886

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMERCY CLINIC SURGICAL SPECIALISTS-ILLINOIS LLC

Location Address2227 VADALABENE DR STE 200Maryville, IL 62062-5824

Mailing Address2227 Vadalabene Dr Ste 200Maryville, IL 62062-5824 · (618) 288-2052

Phone(618) 288-2052

Organization SubpartYesParent: Mercy Clinic East Communities

Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707

Enumeration DateMarch 16, 2018

Last NPPES UpdateApril 28, 20252 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1043713886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2227 VADALABENE DR STE 200, Maryville, IL 62062

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Secondary Practice Location 1

Location 16812 State Route 162 Ste 121Maryville, IL 62062-8586 · Phone (314) 543-5999

Other Identifiers 1

Medicaid500052754MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY CLINIC SPECIALISTS SERVICES-ILLINOIS LLC

Internal Medicine (Hematology & Oncology)

2227 VADALABENE DR STE 200
MARYVILLE, IL 62062

Madison County (314) 364-4347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Clinic Surgical Specialists-Illinois LLC's NPI number?

The NPI number for Mercy Clinic Surgical Specialists-Illinois LLC is 1043713886. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Mercy Clinic Surgical Specialists-Illinois LLC located?

Mercy Clinic Surgical Specialists-Illinois LLC is located at 2227 Vadalabene Dr Ste 200, Maryville, IL 62062. The listed phone number is (618) 288-2052.

What is Mercy Clinic Surgical Specialists-Illinois LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Surgical Specialists-Illinois LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.