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DAVID G VERMILLION M D P C NPI 1154361921


NPI Information

NPI: 1154361921
Provider Name: DAVID G VERMILLION M D P C
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1300 DRESDEN DR
MORRIS, IL
ZIP 60450
Phone: (815) 942-5200
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DAVID G VERMILLION M D P C is an internal medicine in Morris, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DAVID G VERMILLION M D P C NPI is 1154361921. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1300 DRESDEN DR
MORRIS, IL
ZIP 60450-476
Phone: (815) 942-5200
Fax: (815) 942-5330

The provider's authorized official is Mary M. Smith .
The authorized official title is Biller/coder and has the following contact phone number (815) 942-5200.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 12/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics208000000XILLINOISNo
2207R00000XInternal Medicine207R00000XILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036082906MEDICAIDILLINOIS
2370009963OTHERILLINOISRAIL ROAD MEDICARE
30003221864OTHERILLINOISBLUE CROSS BLUE SHIELD
4019038OTHERILLINOISHEALTH ALLIANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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