Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Surgical Technology, LLC

Organization Surgery Physician · NPI 1497159024

Advanced Surgical Technology, LLC is a Surgery Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4200 Williamson Pl Ste 1A
Mount Vernon, IL 62864-6705
Phone: (618) 899-9200
Fax: (618) 899-9206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036115674 (IL)

Record details

NPI number1497159024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Adams — Office Administrator · (618) 969-8317
NPI enumeratedOctober 10, 2014
Last updated in NPPESJuly 17, 2019
Mailing address4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864-6705

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