| Organization Name: | MT. VERNON OB-GYN LLC |
| NPI Number: | 1629217179 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J. SCHIFANO (OWNER/PRESIDENT) |
| Mailing Address: | 1407 Mcpherson Avenue Mt. Vernon |
| State: | IL US |
| Postal Code: | 62864 |
| Phone Number: | 6189975266 |
| Fax Number: | 6189975285 |
| NPI Enumeration Date: | 02/06/2009 |
| NPI Last Update Date: | 01/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |