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

Family Medicine of McLeansboro LLC

Organization Family Nurse Practitioner · NPI 1801920889

Family Medicine of McLeansboro LLC is a Family Nurse Practitioner in McLeansboro, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

208 S Washington St
McLeansboro, IL 62859-1139
Phone: (618) 643-2835
Fax: (618) 643-2891
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X (IL)

Record details

NPI number1801920889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Davenport — Manager · (618) 927-8714
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address208 South Washington Street, McLeansboro, IL 62859