DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REGENCY PARK MEDICAL GROUP LLC

Active Organization

REGENCY PARK MEDICAL GROUP LLC is a General Practice organization located in O FALLON, Illinois. NPI 1063034783 is currently active in the NPPES registry. Verify at CMS.

General Practice · O FALLON, IL

Registration Details

NPI Number
1063034783
Provider Type
Organization
NPI Issued
May 15, 2020 (6.2429542903259 yrs)
Last Updated
Aug 19, 2021

Practice Information

Address
124 REGENCY PARK STE 7
O FALLON, IL, 622691994
Browse IL providers · Browse ZIP 62269
Phone
4809267800
Primary Specialty
General Practice
208D00000X
Additional Specialty
Internal Medicine
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Family Nurse Practitioner

Other General Practice Organizations in O FALLON, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.