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

Midwest Emergency Good Samaritan

Organization Emergency Medicine Physician · NPI 1821442179

Midwest Emergency Good Samaritan is an Emergency Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (817) 451-4208
Fax: (817) 563-3699
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036061115 (IL)

Record details

NPI number1821442179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Cruzen — Owner/President · (817) 451-4208
NPI enumeratedApril 22, 2016
Last updated in NPPESApril 22, 2016
Mailing addressPo Box 8974, Fort Worth, TX 76124-0974

Other providers in Mount Vernon