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

Mt Vernon Neurology, SC

Organization Neurology Physician · NPI 1720079015

Mt Vernon Neurology, SC is a Neurology Physician in Mount Vernon, Illinois. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

2605 Main St
Mount Vernon, IL 62864-2372
Phone: (618) 242-7350
Fax: (618) 242-7351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1720079015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomasz Kosierkiewicz — Md · (618) 242-7350
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 17, 2012
Mailing addressPo Box 2277, Mount Vernon, IL 62864-0044

Other providers in Mount Vernon