Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
Active OrganizationPHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD is a Adult Health Nurse Practitioner organization located in GRANITE CITY, Illinois. NPI 1992039747 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · GRANITE CITY, IL
Registration Details
- NPI Number
- 1992039747
- Provider Type
- Organization
- NPI Issued
- Sep 28, 2009 (16.860599840844 yrs)
- Last Updated
- Oct 15, 2013
- Licenses
-
038009646 (IL)209007631 (IL)
Practice Information
- Address
-
2861 MADISON AVEGRANITE CITY, IL, 620403614Browse IL providers · Browse ZIP 62040
- Phone
- 6188774000
- Fax
- 6188770874
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
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.