1. Home
  2. Directory
  3. Illinois
  4. Mount Vernon
  5. Nurse Practitioner
  6. NPI Profile

FREDONIA ENTERPRISES PLLC
NPI 1710730718
Nurse Practitioner - Family in Mount Vernon, IL

Active since April 09, 2024
302 BROADWAY ST, MOUNT VERNON, IL 62864(618) 204-2897(618) 242-7674 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Apr 9, 2024 (2 updates tracked since 2024).

About Fredonia Enterprises Pllc NPPES

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

FREDONIA ENTERPRISES PLLC (NPI 1710730718), doing business as Heartland Integrative Medicine, is a healthcare organization registered as a family in Mount Vernon, Illinois and active in the NPI registry since April 2024. The organization lists David A Milano, Owner, as its authorized official.

NPPES Registry Identity

NPI1710730718
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFREDONIA ENTERPRISES PLLC
Location Address302 BROADWAY STMount Vernon, IL 62864-5116
Mailing AddressPo Box 127Mount Vernon, IL 62864-0052 · (618) 204-2897 · Fax (618) 242-7674
Phone(618) 204-2897
Fax(618) 242-7674
Organization SubpartNo
Authorized OfficialDavid A MilanoOwner · (618) 204-2897
Enumeration DateApril 9, 2024
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1710730718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
302 BROADWAY ST, Mount Vernon, IL 62864
Open in Google Maps ↗

Other Names 1

Doing Business AsHeartland Integrative Medicine

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 8

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

NEUROMUSCULAR ORTHOPAEDIC INSTITUTE LTD
Orthopaedic Surgery
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4750
MRS. SARAH ELIZABETH NELSON OT
Occupational Therapist (Hand)
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 241-8595
DAVID ADAM MILANO FNP
Nurse Practitioner (Family)
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4570
MR. JOEY ALAN WEGMANN PA-C
Physician Assistant (Surgical)
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4750
DR. JUAN ALFREDO CARRILLO MD
Orthopaedic Surgery
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4750
MEGAN SARAH CHILLSON OTR/L
Occupational Therapist
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 241-8595
MR. ALAN L FROEHLING MD
Orthopaedic Surgery
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4750
DR. JOHN GORDON ROWE M.D.
Orthopaedic Surgery
302 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-4750

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 Fredonia Enterprises PLLC's NPI number?

The NPI number for Fredonia Enterprises PLLC is 1710730718. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Heartland Integrative Medicine.

Where is Fredonia Enterprises PLLC located?

Fredonia Enterprises PLLC is located at 302 Broadway St, Mount Vernon, IL 62864. The listed phone number is (618) 204-2897.

What is Fredonia Enterprises PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Fredonia Enterprises PLLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.