HomeNPI Verification

NPI Verification

National Provider Identifier: 1417140609

Fairview Heights Medical Group Sc

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

8 SUNSET HILLS PROFESSIONAL CTR

EDWARDSVILLE, IL 620253760

Phone: 618-692-9828

NPI Enumeration Date

August 22, 2007

NPI Number

1417140609

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry