Mercy Clinic Surgical Specialists-Illinois LLC
NPI 1043713886 · Surgery Physician · Maryville, IL
Mercy Clinic Surgical Specialists-Illinois LLC is a Surgery Physician organization in Maryville, IL (NPI 1043713886).
Provider details
- NPI number
- 1043713886
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mercy Clinic East Communities
- Organization subpart
- Yes
- Authorized official
- Kerry Dunger, Executive Director - Finance(314) 364-3707
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6812 State Route 162 Ste 121Maryville, IL 62062-8586Phone: (314) 543-5999
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Mercy Clinic Surgical Specialists-Illinois LLC's NPI number?
- Mercy Clinic Surgical Specialists-Illinois LLC's National Provider Identifier (NPI) is 1043713886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mercy Clinic Surgical Specialists-Illinois LLC?
- Mercy Clinic Surgical Specialists-Illinois LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mercy Clinic Surgical Specialists-Illinois LLC located?
- Mercy Clinic Surgical Specialists-Illinois LLC's practice location on file with NPPES is 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824.
- What is Mercy Clinic Surgical Specialists-Illinois LLC's phone number?
- The practice phone number listed in the NPPES registry for Mercy Clinic Surgical Specialists-Illinois LLC is (618) 288-2052.
- Who is the authorized official for Mercy Clinic Surgical Specialists-Illinois LLC?
- The authorized official listed on Mercy Clinic Surgical Specialists-Illinois LLC's NPPES record is Kerry Dunger, Executive Director - Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mercy Clinic Surgical Specialists-Illinois LLC's NPI active?
- Yes — Mercy Clinic Surgical Specialists-Illinois LLC's NPI (1043713886) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.