Modert Family Practice, Ltd.

LBN: Modert Family Practice, Ltd.
Modert Family Practice, Ltd. is an health care organization with primary practice located at 1 Doctors Park Rd Ste C , Mount Vernon IL 62864-6251. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Modert Family Practice, Ltd. can be contacted via phone (618) 244-1234, or through Modert, Sara K. via phone (618) 244-1234.

Contact Information

Primary practice address
1 Doctors Park Rd Ste C Mount Vernon IL 62864-6251
Phone: (618) 244-1234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Modert, Sara K. Doctor of Osteopathy (DO)
Phone: (618) 244-1234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1255311700
LBN Legal business name Modert Family Practice, Ltd.
DBA Doing business as
Authorized official Modert, Sara K. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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