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

Crossroads Physician Corp

Organization Internal Medicine Physician · NPI 1679637789

Crossroads Physician Corp is an Internal Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Doctors Park Rd Ste C
Mount Vernon, IL 62864-6251
Phone: (618) 242-1397
Fax: (618) 242-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)
Physician Assistant Taxonomy 363A00000X (IL)

Record details

NPI number1679637789
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrossroads Physician Corp
Authorized official Debbie Brewer — Director Of Provider Enrollment · (615) 465-7626
Other names Crossroads Internal Medicine #3
NPI enumeratedDecember 21, 2006
Last updated in NPPESOctober 30, 2007
Mailing address1 Doctors Park Rd, Suite C, Mount Vernon, IL 62864-6251

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