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Contact Information

SARA K MODERT, DO
1 DOCTORS PARK RD STE C
MOUNT VERNON, IL62864
 Phone: 618-244-1234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SARA K MODERT · (Female)

NPI # 1700866258
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/19/2006
Last updated 11/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036079217
  • IL Medicaid 036079217
Hospital affiliation(s)
  • CROSSROADS COMMUNITY HOSPITAL - (Acute Care)
    8 DOCTORS PARK ROAD
    MOUNT VERNON, IL 62864
  • GOOD SAMARITAN REGIONAL HEALTH CENTER - (Acute Care)
    1 GOOD SAMARITAN WAY
    MOUNT VERNON, IL 62864
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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