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THE LITTLE CLINIC ILLINOIS
NPI 1063461887
Nurse Practitioner - Family in Mount Vernon, IL

Active since May 09, 2006
415 S 42ND ST, MOUNT VERNON, IL 62864(618) 246-9969 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Little Clinic Illinois NPPES

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

THE LITTLE CLINIC ILLINOIS (NPI 1063461887) is a healthcare organization registered as a family in Mount Vernon, Illinois and active in the NPI registry since May 2006. The organization lists Mary Cay Declue, Owner, as its authorized official.

NPPES Registry Identity

NPI1063461887
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE LITTLE CLINIC ILLINOIS
Location Address415 S 42ND STMount Vernon, IL 62864-6266
Mailing Address415 S 42nd StMount Vernon, IL 62864-6266 · (618) 246-9969
Phone(618) 246-9969
Organization SubpartNo
Authorized OfficialMary Cay DeclueOwner · (618) 246-9969
Enumeration DateMay 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063461887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
415 S 42ND ST, Mount Vernon, IL 62864
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

TODD TWITTY PHARM D
Pharmacist
415 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-9660
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
415 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-9660
JENNA MICHELLE SANTEL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
415 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-9660
CHRISTIE BOND
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
415 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-9660
DR. ALEXANDREA BREE AN SWINNEN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
415 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-9660
MR. LESLIE W RUSSELL R . PH.
Pharmacist
415 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-9660

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 The Little Clinic Illinois's NPI number?

The NPI number for The Little Clinic Illinois is 1063461887. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is The Little Clinic Illinois located?

The Little Clinic Illinois is located at 415 S 42nd St, Mount Vernon, IL 62864. The listed phone number is (618) 246-9969.

What is The Little Clinic Illinois's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Little Clinic Illinois was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.