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

King City Surgery Center, SC

Organization Surgery Physician · NPI 1003005463

King City Surgery Center, SC is a Surgery Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2605 Main St
Mount Vernon, IL 62864-2372
Phone: (618) 244-0050
Fax: (618) 244-0061
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X (IL)
Surgery Physician Taxonomy 208600000X (IL)

Record details

NPI number1003005463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anton Schittek — Physician/President · (618) 244-0050
NPI enumeratedOctober 22, 2007
Last updated in NPPESOctober 22, 2007
Mailing address2605 Main St, Mount Vernon, IL 62864-2372

Other providers in Mount Vernon