MIDWEST OCCUPATIONAL MEDICINE LTD. NPI 1619051620

NPI Information

  • NPI: 1619051620
  • Provider Name: MIDWEST OCCUPATIONAL MEDICINE LTD.
  • Classification: Preventive Medicine - 2083X0100X
  • Specialization: Occupational Medicine
  • Entity Type: Organization
  • CLIA Number: 14D2094193
  • Address: 325 MADISON AVE
    WOOD RIVER, IL
    ZIP 62095
  • Phone: (618) 251-5202

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NPI Details

MIDWEST OCCUPATIONAL MEDICINE LTD. is an occupational medicine preventive medicine in Wood River, IL. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. MIDWEST OCCUPATIONAL MEDICINE LTD. NPI is 1619051620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 MADISON AVE
WOOD RIVER, IL
ZIP 62095-010
Phone: (618) 251-5202
Fax: (618) 251-5118

The provider's authorized official is George Joseph Dirkers .
The authorized official title is President and has the following contact phone number (618) 251-5202.

The CLIA number assigned to this NPI record is 14D2094193 - other - occ medicine with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.

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
12083X0100XPreventive MedicineOccupational Medicine2083X0100XILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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