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CROSSROADS INTERNAL MEDICINE #3
NPI 1679637789
Internal Medicine in Mount Vernon, IL

Active since December 21, 2006
1 DOCTORS PARK RD, SUITE C, MOUNT VERNON, IL 62864(618) 242-1397(618) 242-9002 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crossroads Internal Medicine #3 NPPES

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

CROSSROADS INTERNAL MEDICINE #3 (NPI 1679637789) is a healthcare organization registered as an internal medicine in Mount Vernon, Illinois and active in the NPI registry since December 2006. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1679637789
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCROSSROADS PHYSICIAN CORP
Location Address1 DOCTORS PARK RD, SUITE CMount Vernon, IL 62864-6251
Mailing Address1 Doctors Park Rd, Suite CMount Vernon, IL 62864-6251 · (618) 242-1397 · Fax (618) 242-9002
Phone(618) 242-1397
Fax(618) 242-9002
Organization SubpartYes
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateDecember 21, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1679637789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
1 DOCTORS PARK RD, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsCrossroads Internal Medicine #3

Other Identifiers 3

Medicare PIN212649IL
Medicare PIN599560IL
Medicare PIN208459IL

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 2

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

MR. CURTIS WILLIAM BOEHNE MSW, LCSW
Social Worker (Clinical)
1 DOCTORS PARK RD, SUITE G
MOUNT VERNON, IL 62864
Jefferson County (618) 246-2910
MS. REBECCA ANN LAMCZIK PA-C
Physician Assistant
1 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Jefferson County (618) 246-2910

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 1679637789. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Crossroads Internal Medicine #3.

Where is Crossroads Physician Corp located?

Crossroads Physician Corp is located at 1 Doctors Park Rd Suite C, Mount Vernon, IL 62864. The listed phone number is (618) 242-1397.

What is Crossroads Physician Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Physician Corp was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.