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

Modert Family Practice, Ltd

Organization Family Medicine Physician · NPI 1255311700

Modert Family Practice, Ltd is a Family Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
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) 244-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1255311700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Modert — President · (618) 244-1234
NPI enumeratedJanuary 19, 2006
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing addressPo Box 802, Mount Vernon, IL 62864-0017

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