THE LITTLE CLINIC ILLINOIS – Family Nurse Practitioner, NPI 1063461887

THE LITTLE CLINIC ILLINOIS is a healthcare provider. based in Mount vernon, Illinois. specializing in Family Nurse Practitioner. The NPI Number for THE LITTLE CLINIC ILLINOIS is 1063461887

Main info

Organization
Name
THE LITTLE CLINIC ILLINOIS
NPI
1063461887
Phone
(618) 246-9969
Address
415 S 42ND ST
Authorized Official
MRS. MARY CAY DECLUE OWNER NP
Enumeration Date
9 May 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for THE LITTLE CLINIC ILLINOIS

  • 415, South 42nd Street, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628646266

    Phone: (618) 246-9969

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Reviews

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Frequently asked questions

Can I verify THE LITTLE CLINIC ILLINOIS with an NPI only?
You can start verification with NPI 1063461887 for THE LITTLE CLINIC ILLINOIS, then check state licensing separately.
Is THE LITTLE CLINIC ILLINOIS still practicing?
THE LITTLE CLINIC ILLINOIS is currently listed as active in the public NPI registry.
What taxonomy line describes THE LITTLE CLINIC ILLINOIS?
For research purposes, treat THE LITTLE CLINIC ILLINOIS as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect THE LITTLE CLINIC ILLINOIS on a map?
Expect Mount Vernon, Illinois as a primary anchor for THE LITTLE CLINIC ILLINOIS unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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