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CROSSROADS PHYSICIAN CORP
NPI 1194980516
Family Medicine in Mount Vernon, IL

Active since July 24, 2008
209 CROSSROADS PL, SUITE 140, MOUNT VERNON, IL 62864(618) 241-7207(618) 241-7210 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crossroads Physician Corp NPPES

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

CROSSROADS PHYSICIAN CORP (NPI 1194980516) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since July 2008. The organization lists Debbie T Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1194980516
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS PHYSICIAN CORP
Location Address209 CROSSROADS PL, SUITE 140Mount Vernon, IL 62864-6545
Mailing Address209 Crossrods Pl, Suite 140Mount Vernon, IL 62864-6545 · (618) 241-7207
Phone(618) 241-7207
Fax(618) 241-7210
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector · (615) 465-7626
Enumeration DateJuly 24, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1194980516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
209 CROSSROADS PL, Mount Vernon, IL 62864
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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 16

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

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Family Medicine
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-1937
MRS. ALEXIS NOELLE FISCHER FNP-C
Nurse Practitioner (Family)
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 322-5053
MRS. SONYA MCKINNEY APRN
Nurse Practitioner
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6222
GARY M REAGAN MD
Urology
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6710
CROSSROADS PHYSICIAN CORP
Surgery
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Jefferson County (618) 242-3831
S THOMAS SEHY DPM LLC
Podiatrist
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Jefferson County (314) 241-9411
TY MILLER NP
Registered Nurse
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-8100
CROSSROADS PHYSICIANS CORP
Family Medicine
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6710

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 Crossroads Physician Corp's NPI number?

The NPI number for Crossroads Physician Corp is 1194980516. It was assigned to this organization in the NPPES registry on July 24, 2008.

Where is Crossroads Physician Corp located?

Crossroads Physician Corp is located at 209 Crossroads Pl Suite 140, Mount Vernon, IL 62864. The listed phone number is (618) 241-7207.

What is Crossroads Physician Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Physician Corp was last updated on July 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.