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

Surgical Associates of Mt Vernon, Ltd

Organization Specialist · NPI 1790827491

Surgical Associates of Mt Vernon, Ltd is a Specialist in Mount Vernon, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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

2 Good Samaritan Way Ste 235
Mount Vernon, IL 62864
Phone: (618) 899-3980
Fax: (618) 899-4793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Specialist Taxonomy 174400000X

Record details

NPI number1790827491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Shores — Physician/Owner · (618) 899-3980
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJanuary 24, 2014
Mailing address2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864

Other providers in Mount Vernon