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MICHAEL P. VERCIMAK MDSC
NPI 1629245527
Surgery in Mendota, IL

Active since May 11, 2008
1311 MEMORIAL DR, SUITE 700, MENDOTA, IL 61342(815) 539-3831(815) 538-4202 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael P. Vercimak Mdsc NPPES

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

MICHAEL P. VERCIMAK MDSC (NPI 1629245527) is a healthcare organization registered as a surgery in Mendota, Illinois and active in the NPI registry since May 2008. The organization lists Michael Peter Vercimak, Owner, as its authorized official.

NPPES Registry Identity

NPI1629245527
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMICHAEL P. VERCIMAK MDSC
Location Address1311 MEMORIAL DR, SUITE 700Mendota, IL 61342-1495
Mailing Address1311 Memorial Dr, Suite 700Mendota, IL 61342-1495 · (815) 539-3831 · Fax (815) 538-4202
Phone(815) 539-3831
Fax(815) 538-4202
Organization SubpartNo
Authorized OfficialMichael Peter VercimakOwner · (815) 539-3831
Enumeration DateMay 11, 2008
Last NPPES UpdateJune 7, 2010
✔ NPI 1629245527 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.
1311 MEMORIAL DR, Mendota, IL 61342
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Other Identifiers 2

Medicare UPINC45903IL
Medicare PIN717080IL

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

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

DR. DEEPAK NATHANI M.D.
Internal Medicine
1311 MEMORIAL DR, SUITE 300
MENDOTA, IL 61342
Lasalle County (815) 539-3405

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 P. Vercimak Mdsc's NPI number?

The NPI number for Michael P. Vercimak Mdsc is 1629245527. It was assigned to this organization in the NPPES registry on May 11, 2008.

Where is Michael P. Vercimak Mdsc located?

Michael P. Vercimak Mdsc is located at 1311 Memorial Dr Suite 700, Mendota, IL 61342. The listed phone number is (815) 539-3831.

What is Michael P. Vercimak Mdsc'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 P. Vercimak Mdsc was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.