HomeNPI Verification

NPI Verification

National Provider Identifier: 1487847638

Fairview Heights Medical Group Sc

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

2044 MADISON AVE

SUITE 15

GRANITE CITY, IL 620404641

Phone: 618-451-1500

NPI Enumeration Date

August 21, 2007

NPI Number

1487847638

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