Organization
MT VERNON NEUROLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMASZ A KOSIERKIEWICZ MD (MD)
(618) 242-7350
Entity
Organization
Contact information
Practice address
2605 MAIN ST, MOUNT VERNON, IL 62864-2372
(618) 242-7350
(618) 242-7351
Mailing address
PO BOX 2277, MOUNT VERNON, IL 62864-0044
(618) 242-7350
(618) 242-7351
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/04/2005
Last updated
07/17/2012
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