BRIAN J SHAHEEN MD SC
NPI 1336214584
Family Medicine in Mount Vernon, IL

Active since November 22, 2006
1104 S 42ND STREET, MOUNT VERNON, IL 62864(618) 244-2296(618) 244-0074 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian J Shaheen Md Sc NPPES

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

BRIAN J SHAHEEN MD SC (NPI 1336214584) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since November 2006. The organization lists Brian J Shaheen, President, as its authorized official.

NPPES Registry Identity

NPI1336214584
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRIAN J SHAHEEN MD SC
Location Address1104 S 42ND STREETMount Vernon, IL 62864-6216
Mailing Address4227 Lincolshire DriveMount Vernon, IL 62864-2157 · (618) 242-2317 · Fax (618) 242-9710
Fax(618) 244-0074
Organization SubpartNo
Authorized OfficialBrian J ShaheenPresident · (618) 244-2296
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1336214584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1104 S 42ND STREET, Mount Vernon, IL 62864

Other Identifiers 1

Other704010Medicare

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

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 Brian J Shaheen MD Sc's NPI number?

The NPI number for Brian J Shaheen MD Sc is 1336214584. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Brian J Shaheen MD Sc located?

Brian J Shaheen MD Sc is located at 1104 S 42nd Street, Mount Vernon, IL 62864. The listed phone number is (618) 244-2296.

What is Brian J Shaheen MD Sc'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 Brian J Shaheen MD Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.