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Organization
MERCY CLINIC ILLINOIS, LLC
Active
Organization
MERCY CLINIC ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization
Contact information
Practice address
1019 VALMEYER RD, COLUMBIA, IL 62236-4123
(314) 543-5244
(314) 543-5248
Mailing address
1019 VALMEYER RD, COLUMBIA, IL 62236-4123
(314) 543-5244
(314) 543-5248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/24/2019
Last updated
04/28/2025
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