The Little Clinic Illinois
NPI 1063461887 · Family Nurse Practitioner · Mount Vernon, IL
The Little Clinic Illinois is a Family Nurse Practitioner organization in Mount Vernon, IL (NPI 1063461887).
Provider details
- NPI number
- 1063461887
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mary Declue, Owner(618) 246-9969
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is The Little Clinic Illinois's NPI number?
- The Little Clinic Illinois's National Provider Identifier (NPI) is 1063461887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Little Clinic Illinois?
- The Little Clinic Illinois is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is The Little Clinic Illinois located?
- The Little Clinic Illinois's practice location on file with NPPES is 415 S 42nd St, Mount Vernon, IL 62864-6266.
- What is The Little Clinic Illinois's phone number?
- The practice phone number listed in the NPPES registry for The Little Clinic Illinois is (618) 246-9969.
- Who is the authorized official for The Little Clinic Illinois?
- The authorized official listed on The Little Clinic Illinois's NPPES record is Mary Declue, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Little Clinic Illinois's NPI active?
- Yes — The Little Clinic Illinois's NPI (1063461887) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.