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EGYPTIAN SPINE CLINIC
NPI 1932572872
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Mount Vernon, IL

Active since October 31, 2015
412 S 34TH ST STE 101, MOUNT VERNON, IL 62864(618) 231-6121 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Egyptian Spine Clinic NPPES

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

EGYPTIAN SPINE CLINIC (NPI 1932572872) is a healthcare organization registered as an orthopaedic surgery of the spine in Mount Vernon, Illinois and active in the NPI registry since October 2015. The organization maintains a secondary practice location in Centralia and lists Ahmed Salem Mohamed, Owner, as its authorized official.

NPPES Registry Identity

NPI1932572872
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameEGYPTIAN SPINE CLINIC
Location Address412 S 34TH ST STE 101Mount Vernon, IL 62864-6021
Mailing Address412 S 34th St Ste 101Mount Vernon, IL 62864-6021 · (618) 231-6121
Phone(618) 231-6121
Organization SubpartNo
Authorized OfficialAhmed Salem MohamedOwner · (618) 231-6121
Enumeration DateOctober 31, 2015
Last NPPES UpdateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1932572872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in IL · 036.136254
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
412 S 34TH ST STE 101, Mount Vernon, IL 62864
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Secondary Practice Location 1

Location 11007 M L King DrCentralia, IL 62801-3001 · Phone (443) 509-3678

Other Identifiers 1

Medicaid036136254IL

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

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

DR. AHMED SALEM MOHAMED MD
Specialist
412 S 34TH ST STE 101
MOUNT VERNON, IL 62864
Jefferson County (618) 231-6121

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 Egyptian Spine Clinic's NPI number?

The NPI number for Egyptian Spine Clinic is 1932572872. It was assigned to this organization in the NPPES registry on October 31, 2015.

Where is Egyptian Spine Clinic located?

Egyptian Spine Clinic is located at 412 S 34th St Ste 101, Mount Vernon, IL 62864. The listed phone number is (618) 231-6121.

What is Egyptian Spine Clinic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Egyptian Spine Clinic was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.