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DR. MICHAEL P VERCIMAK MD
NPI 1366500852
Surgery in Mendota, IL

Active since December 05, 2006
1405 E 12TH ST, SUITE 200, MENDOTA, IL 61342(815) 539-3831(815) 538-4202 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael P Vercimak Md NPPES

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

DR. MICHAEL P VERCIMAK MD (NPI 1366500852) is an individual surgery provider in Mendota, Illinois, licensed in Illinois (036067743) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1366500852
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL P VERCIMAKCredential: MD
Location Address1405 E 12TH ST, SUITE 200Mendota, IL 61342-1495
Mailing Address1405 E 12th St, Suite 200Mendota, IL 61342-1495 · (815) 539-3831 · Fax (815) 538-4202
Phone(815) 539-3831
Fax(815) 538-4202
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 22, 2011
✔ NPI 1366500852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036067743
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.
1405 E 12TH ST, Mendota, IL 61342
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Other Identifiers 7

Other0005000301IL · Bcbs
Other020002934Gba
Medicare ID-Type Unspecified717080IL
Other020002934Palmetto
Medicare UPINC45903
Medicaid036067743IL
Other020002934Rr Medicare

Other Providers at the Same Location NPPES 8

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

JONATHAN EDWARDS
Nurse Practitioner (Family)
1405 E 12TH ST, SUITE 600
MENDOTA, IL 61342
Lasalle County (815) 538-7200
ASSOCIATED PHYSICIANS, SC
Family Medicine
1405 E 12TH ST, SUITE 300
MENDOTA, IL 61342
Lasalle County (815) 539-3141
JOY PRECIADO
Nurse Practitioner (Family)
1405 E 12TH ST, STE 300
MENDOTA, IL 61342
Lasalle County (815) 539-3141
MENDOTA COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
1405 E 12TH ST
MENDOTA, IL 61342
Lasalle County (815) 539-7461
ERIC A KIVISTO DO
Surgery
1405 E 12TH ST, SUITE 500
MENDOTA, IL 61342
Lasalle County (815) 539-1789
STACY A PILLER APN
Nurse Practitioner (Primary Care)
1405 E 12TH ST, STE 600
MENDOTA, IL 61342
Lasalle County (815) 538-7200
CAITLIN J ENGELS-ARTEAGA
Physician Assistant (Medical)
1405 E 12TH ST, SUITE 600
MENDOTA, IL 61342
Lasalle County (815) 538-7200
DR. REBECCA C SALVANI M.D.
Obstetrics & Gynecology
1405 E 12TH ST, SUITE 200
MENDOTA, IL 61342
Lasalle County (815) 539-1710

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 Michael Vercimak's NPI number?

The NPI number for Michael Vercimak is 1366500852. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Michael Vercimak located?

Michael Vercimak practices at 1405 E 12th St Suite 200, Mendota, IL 61342. The listed phone number is (815) 539-3831.

What is Michael Vercimak'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 Michael Vercimak was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.