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

WESTERN ILLINOIS MEDICAL GROUP, LLC

Active Organization

WESTERN ILLINOIS MEDICAL GROUP, LLC is a Dermatology organization located in MACOMB, Illinois. NPI 1205958741 is currently active in the NPPES registry. Verify at CMS.

Dermatology · MACOMB, IL

Registration Details

NPI Number
1205958741
Provider Type
Organization
NPI Issued
Apr 4, 2007 (19.350125042139 yrs)
Last Updated
Jan 18, 2023
License
036099467 (IL)

Practice Information

Address
909 E GRANT ST
MACOMB, IL, 614553371
Browse IL providers · Browse ZIP 61455
Phone
3098377546
Fax
3126747546
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
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.