CROSSROADS INTERNAL MEDICINE #1
NPI 1790779874
Internal Medicine in Mount Vernon, IL

Q: What is Crossroads Physician Corp's NPI number?

The NPI number for Crossroads Physician Corp is 1790779874. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Crossroads Internal Medicine #1.

Q: What is Crossroads Physician Corp's specialty?

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

Active since September 06, 2005

4101 N WATER TOWER PL, MOUNT VERNON, IL 62864(618) 244-4313(618) 244-9592 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crossroads Internal Medicine #1 NPPES

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

CROSSROADS INTERNAL MEDICINE #1 (NPI 1790779874) is a healthcare organization registered as an internal 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

NPI1790779874

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCROSSROADS PHYSICIAN CORP

Location Address4101 N WATER TOWER PLMount Vernon, IL 62864-6296

Mailing Address4101 N Water Tower PlMount Vernon, IL 62864-6296 · (618) 244-4313 · Fax (618) 244-9592

Phone(618) 244-4313

Fax(618) 244-9592

Organization SubpartYes

Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626

Enumeration DateSeptember 6, 2005

Last NPPES UpdateOctober 30, 2007

✔ NPI 1790779874 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 ListedNurse PractitionerTaxonomy 363L00000X

4101 N WATER TOWER PL, Mount Vernon, IL 62864

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Other Names 1

Doing Business AsCrossroads Internal Medicine #1

Other Identifiers 3

Medicare PIN599560IL

Medicare PIN208459IL

Medicare PIN212649IL

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 9

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

NATIONAL HEALTHCARE OF MT. VERNON, INC

Internal Medicine