KING CITY PHYSICIAN COMPANY, LLC – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1134470859

KING CITY PHYSICIAN COMPANY, LLC is a healthcare provider. based in Mount vernon, Illinois. specializing in Plastic Surgery within the Head & Neck (Otolaryngology) Physician. The NPI Number for KING CITY PHYSICIAN COMPANY, LLC is 1134470859

Main info

Organization
Name
KING CITY PHYSICIAN COMPANY, LLC
NPI
1134470859
Phone
(618) 242-0672
Address
4117 S WATER TOWER PL
Authorized Official
LAURA J FEY SR. DIRECTOR PHYSICIAN REV CYCLE
Enumeration Date
20 September 2012
Last Update Date
7 July 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for KING CITY PHYSICIAN COMPANY, LLC

  • 4117 S WATER TOWER PL

    SUITE C

    MOUNT VERNON, IL 628646567

    Phone: (618) 242-0672

    Fax: (618) 242-0862

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find KING CITY PHYSICIAN COMPANY, LLC's NPI?
You can confirm KING CITY PHYSICIAN COMPANY, LLC with NPI 1134470859; it appears in the national provider directory.
Is KING CITY PHYSICIAN COMPANY, LLC currently active in the NPI registry?
CMS-published data lists KING CITY PHYSICIAN COMPANY, LLC as an active registrant.
Does KING CITY PHYSICIAN COMPANY, LLC list a primary specialty?
If you are matching referrals, note Plastic Surgery within the Head & Neck (Otolaryngology) Physician for KING CITY PHYSICIAN COMPANY, LLC. Clinical services aligned with this taxonomy classification.
Does KING CITY PHYSICIAN COMPANY, LLC practice in Illinois?
You will see Mount Vernon, Illinois on file for KING CITY PHYSICIAN COMPANY, LLC alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. GORDON J SIEGEL (M.D.)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Medinah Barber Shop, 3, East Huron Street, Magnificent Mile, Chicago River North, Chicago, Cook County, Illinois, 60611, United States
NPI: 1982609103

DR. THOMAS J NIELSEN (M.D.)

Otolaryngology Physician
Subway, 1611, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60607, United States
NPI: 1235138546
PO BOX 64568
NPI: 1932108396

DR. PAUL JOHN JONES (M.D.)

Otolaryngology Physician
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1417956509

JAY K. CHAUHAN (D.O.)

Otolaryngology Physician
PO BOX 64568
NPI: 1639170731