INTEGRATED MEDICAL GROUP NPI 1982760278

NPI Information

NPI: 1982760278
Provider Name: INTEGRATED MEDICAL GROUP
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
435 S BUCHANAN ST
SUITE B
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 692-6700
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INTEGRATED MEDICAL GROUP is a rehabilitation clinic center in Edwardsville, IL. INTEGRATED MEDICAL GROUP NPI is 1982760278. The provider is registered as an organization entity type.

The provider's business location address is:

435 S BUCHANAN ST
SUITE B
EDWARDSVILLE, IL
ZIP 62025-091
Phone: (618) 692-6700
Fax: (618) 692-6711

The provider's authorized official is David Michael Thayer .
The authorized official title is Owner and has the following contact phone number (618) 692-6700.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 5/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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