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MIDWEST OCCUPATIONAL MEDICINE LTD. NPI 1619051620


NPI Information

NPI: 1619051620
Provider Name: MIDWEST OCCUPATIONAL MEDICINE LTD.
Classification: Preventive Medicine - 2083X0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 14D2094195

Address:
325 MADISON AVE
WOOD RIVER, IL
ZIP 62095
Phone: (618) 251-5202
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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 14D2094195 - other - occupational 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?

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

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