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CROSSROADS FAMILY ASSOCIATES #1
NPI 1780678797
Family Medicine in Mount Vernon, IL

Active since September 06, 2005
209 CROSSROADS PL, SUITE 120, MOUNT VERNON, IL 62864(618) 242-3119(618) 242-3132 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crossroads Family Associates #1 NPPES

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

CROSSROADS FAMILY ASSOCIATES #1 (NPI 1780678797) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since September 2005. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1780678797
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS PHYSICIAN CORP
Location Address209 CROSSROADS PL, SUITE 120Mount Vernon, IL 62864-6254
Mailing Address209 Crossroads Pl, Suite 120Mount Vernon, IL 62864-6254 · (618) 242-3119 · Fax (618) 242-3132
Phone(618) 242-3119
Fax(618) 242-3132
Organization SubpartYes
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateSeptember 6, 2005
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1780678797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 CROSSROADS PL, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsCrossroads Family Associates #1

Other Identifiers 1

Medicare PIN599560IL

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 16

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

CROSSROADS PHYSICIAN CORP
Family Medicine
209 CROSSROADS PL, SUITE 140
MOUNT VERNON, IL 62864
Jefferson County (618) 241-7207
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Family Medicine
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-1937
MRS. ALEXIS NOELLE FISCHER FNP-C
Nurse Practitioner (Family)
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 322-5053
MRS. SONYA MCKINNEY APRN
Nurse Practitioner
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6222
GARY M REAGAN MD
Urology
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6710
CROSSROADS PHYSICIAN CORP
Surgery
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Jefferson County (618) 242-3831
S THOMAS SEHY DPM LLC
Podiatrist
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Jefferson County (314) 241-9411
TY MILLER NP
Registered Nurse
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-8100

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 1780678797. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Crossroads Family Associates #1.

Where is Crossroads Physician Corp located?

Crossroads Physician Corp is located at 209 Crossroads Pl Suite 120, Mount Vernon, IL 62864. The listed phone number is (618) 242-3119.

What is Crossroads Physician Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Physician Corp was last updated on January 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.