MURPHYSBORO INTERNAL MEDICINE CLINIC NPI 1114114345

NPI Information

  • NPI: 1114114345
  • Provider Name: MURPHYSBORO INTERNAL MEDICINE CLINIC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 1032 N 6TH ST
    MURPHYSBORO, IL
    ZIP 62966
  • Phone: (618) 684-6408

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NPI Details

MURPHYSBORO INTERNAL MEDICINE CLINIC is a geriatric medicine internal medicine in Murphysboro, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MURPHYSBORO INTERNAL MEDICINE CLINIC NPI is 1114114345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1032 N 6TH ST
MURPHYSBORO, IL
ZIP 62966-267
Phone: (618) 684-6408
Fax: (618) 684-3637

The provider's authorized official is Chante T Trinh .
The authorized official title is President and has the following contact phone number (618) 684-6408.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 9/19/2008.

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
1207RG0300XInternal MedicineGeriatric Medicine036110916ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I07320MEDICARE UPINILLINOIS
203932025OTHERILLINOISBC BS IL
3209134MEDICARE PINILLINOIS
4036110916MEDICAIDILLINOIS

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: 11/21/2025

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