CROSSROADS PHYSICIAN CORP – Family Medicine Physician, NPI 1194980516

CROSSROADS PHYSICIAN CORP is a healthcare provider. based in Mount vernon, Illinois. specializing in Family Medicine Physician. The NPI Number for CROSSROADS PHYSICIAN CORP is 1194980516

Main info

Organization
Name
CROSSROADS PHYSICIAN CORP
NPI
1194980516
Phone
(618) 241-7207
Address
209 CROSSRODS PL
Authorized Official
DEBBIE T BREWER DIRECTOR
Enumeration Date
24 July 2008
Last Update Date
28 July 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for CROSSROADS PHYSICIAN CORP

  • 209 CROSSRODS PL

    SUITE 140

    MOUNT VERNON, IL 628646545

    Phone: (618) 241-7207

    Type: Mailing

  • 209, Crossroads Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    SUITE 140

    MOUNT VERNON, IL 628646545

    Phone: (618) 241-7207

    Fax: (618) 241-7210

    Type: Location

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.

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Medicare Enrollment & Revalidation

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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

What is the registry number for CROSSROADS PHYSICIAN CORP?
The registry entry for CROSSROADS PHYSICIAN CORP shows NPI 1194980516.
Is CROSSROADS PHYSICIAN CORP currently accepting referrals based on NPI status?
Registry metadata lists CROSSROADS PHYSICIAN CORP as active.
How should patients interpret CROSSROADS PHYSICIAN CORP's specialty?
The extract shows Family Medicine Physician for CROSSROADS PHYSICIAN CORP. Clinical services aligned with this taxonomy classification.
What city is tied to CROSSROADS PHYSICIAN CORP?
The directory associates CROSSROADS PHYSICIAN CORP with Mount Vernon, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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