MT VERNON NEUROLOGY, S.C.
NPI 1720079015
Psychiatry & Neurology - Neurology in Mount Vernon, IL

Active since November 04, 2005
2605 MAIN ST, MOUNT VERNON, IL 62864(618) 242-7350(618) 242-7351 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mt Vernon Neurology, S.c. NPPES

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

MT VERNON NEUROLOGY, S.C. (NPI 1720079015) is a healthcare organization registered as a neurology in Mount Vernon, Illinois and active in the NPI registry since November 2005. The organization lists Tomasz A Kosierkiewicz, Md, as its authorized official.

NPPES Registry Identity

NPI1720079015
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMT VERNON NEUROLOGY, S.C.
Location Address2605 MAIN STMount Vernon, IL 62864-2372
Mailing AddressPo Box 2277Mount Vernon, IL 62864-0044 · (618) 242-7350 · Fax (618) 242-7351
Fax(618) 242-7351
Organization SubpartNo
Authorized OfficialTomasz A KosierkiewiczMd · (618) 242-7350
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 17, 2012
NPI 1720079015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2605 MAIN ST, Mount Vernon, IL 62864

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 3

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2605 MAIN ST
MOUNT VERNON, IL 62864
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2605 MAIN ST
MOUNT VERNON, IL 62864
Psychiatry & Neurology (Neurology)
2605 MAIN ST
MOUNT VERNON, IL 62864

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 Mt Vernon Neurology, S.C.'s NPI number?

The NPI number for Mt Vernon Neurology, S.C. is 1720079015. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is Mt Vernon Neurology, S.C. located?

Mt Vernon Neurology, S.C. is located at 2605 Main St, Mount Vernon, IL 62864. The listed phone number is (618) 242-7350.

What is Mt Vernon Neurology, S.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Mt Vernon Neurology, S.C. was last updated on July 17, 2012. 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.