OrganizationActive
Medical Income Management Corp
NPI 1912924630 · Family Medicine Physician · Sullivan, IL
Provider details
- NPI number
- 1912924630
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kurt Dearnbarger, Owner(217) 728-9999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 W Jefferson St
Sullivan, IL 61951-1914
Phone: (217) 728-9999
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1215
Mattoon, IL 61938-1215
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2009-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.