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Crossroads Physician Corp

Internal Medicine Physician in Mount Vernon, IL · enumerated 2005 · authorized official Debbie Brewer, Director of Provider Enrollment.

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

National Provider Identifier

1871587881

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Registry record

Entity type Organization (Type 2)
Legal business name Crossroads Physician Corp
Other name <Unavail>
Parent organization Crossroads Physician Corp
Practice address 1009 S 42nd St, Suite #2, Mount Vernon, IL, 62864
Fax (618) 246-9550
Enumeration date Sep 6, 2005
Last updated in NPPES Sep 18, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debbie Brewer
Title Director of Provider Enrollment

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-09-18. Verify at npiregistry.cms.hhs.gov.
Where is Crossroads Physician Corp located?
The practice location on file with NPPES is in Mount Vernon, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-18.