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

Mt Vernon Family Practice PC

Organization Family Medicine Physician · NPI 1215141916

Mt Vernon Family Practice PC is a Family Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4230 Lincolnshire Dr Ste G
Mount Vernon, IL 62864-2189
Phone: (618) 244-6770
Fax: (618) 244-6772
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036063418 (IL)

Record details

NPI number1215141916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linden Pearson — President · (618) 244-6770
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 12, 2015
Mailing address4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864-2189

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