HomeNPI Verification

NPI Verification

National Provider Identifier: 1538341094

Fairview Heights Medical Group Sc

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

2246 S STATE ROUTE 157

STE. 200

GLEN CARBON, IL 620341717

Phone: 618-288-5888

NPI Enumeration Date

November 27, 2007

NPI Number

1538341094

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