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Mercy Clinic Surgical Specialists-Illinois LLC

Surgery Physician in Maryville, IL · enumerated 2018 · authorized official Kerry Dunger, Executive Director - Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043713886

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Registry record

Entity type Organization (Type 2)
Legal business name Mercy Clinic Surgical Specialists-Illinois LLC
Parent organization Mercy Clinic East Communities
Practice address 2227 Vadalabene Dr Ste 200, Maryville, IL, 62062
Phone (618) 288-2052
Enumeration date Mar 16, 2018
Last updated in NPPES Apr 28, 2025

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kerry Dunger
Title Executive Director - Finance
Phone (314) 364-3707

Other identifiers

Identifier Type State Issuer
500052754 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mercy Clinic Surgical Specialists-Illinois LLC?
Mercy Clinic Surgical Specialists-Illinois LLC is registered in NPPES as a Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-28.