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

Luke McKenzie Conklin

Individual provider Family Medicine Physician · NPI 1336641521

Luke McKenzie Conklin is a Family Practice in O Fallon, Illinois. Qualified in 2020, 6 years ago. Practices with Vituity - Illinois Auc LLP, a 34-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2018

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4792
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 036164625 (IL)

Record details

NPI number1336641521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address310 W Losey St, Scott Afb, IL 62225-5250

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vituity - Illinois Auc Llp — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in O Fallon