FAMILY PHYSICIANS OF MADISON COUNTY LTD NPI 1093711905

NPI Information

NPI: 1093711905
Provider Name: FAMILY PHYSICIANS OF MADISON COUNTY LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3 JUNCTION DR W
GLEN CARBON, IL
ZIP 62034
Phone: (618) 288-5088
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FAMILY PHYSICIANS OF MADISON COUNTY LTD is a family medicine in Glen Carbon, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PHYSICIANS OF MADISON COUNTY LTD NPI is 1093711905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 JUNCTION DR W
GLEN CARBON, IL
ZIP 62034-916
Phone: (618) 288-5088

The provider's authorized official is Raymond K Weber .
The authorized official title is President and has the following contact phone number (618) 288-5088.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 7/21/2022.

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
1	207Q00000X	Family Medicine			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080021119	OTHER	ILLINOIS	RAIL ROAD MEDICARE
2	6015373	OTHER	ILLINOIS	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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