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Organization

MT. VERNON OB-GYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J. SCHIFANO D.O. (OWNER/PRESIDENT)
(618) 997-5266
Entity
Organization

Contact information

Practice address
1407 MCPHERSON AVENUE, MT. VERNON, IL 62864
(618) 997-5266
(618) 997-5285
Mailing address
3408 OFFICE PARK DRIVE, MARION, IL 62959
(618) 997-5266
(618) 997-5285

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
02/06/2009
Last updated
01/12/2011
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