NPI: 1386787539
Provider Name: FAIRVIEW HEIGHTS MEDICAL GROUP SC
Doing Business As: NORTH COUNTY ENDOCRINOLOGY
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 14D1052784
Address:
8 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 692-9828
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FAIRVIEW HEIGHTS MEDICAL GROUP SC is an endocrinology and diabetes and metabolism internal medicine in Edwardsville, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. FAIRVIEW HEIGHTS MEDICAL GROUP SC NPI is 1386787539. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North County Endocrinology.
The provider's business location address is:
8 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL
ZIP 62025-760
Phone: (618) 692-9828
The provider's authorized official is Raymond P Davidson .
The authorized official title is President and has the following contact phone number (314) 286-2028.
The CLIA number assigned to this NPI record is 14D1052784 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2007 and was last updated on 1/7/2008.