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

Crossroads Physician Corp

Organization Internal Medicine Physician · NPI 1871587881

Crossroads Physician Corp is an Internal Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

1009 S 42nd St Ste #2
Mount Vernon, IL 62864-6218
Phone: (618) 246-0400
Fax: (618) 246-9550
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)

Record details

NPI number1871587881
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 #2
NPI enumeratedSeptember 6, 2005
Last updated in NPPESSeptember 18, 2007
Mailing address1009 S 42nd St, Suite #2, Mount Vernon, IL 62864-6218

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