Organization · Type 2 NPI
Main Street Medical Group LLC
General Practice Physician · O Fallon, IL
NPI number
1043832769
Active
Practice location
124 Regency Park Ste 7
O Fallon, IL 62269-1994
Mailing address
2250 E Germann Rd Ste 8
Chandler, AZ 85286-1575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Physical Therapist | 225100000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
5 other providers at this address
- New Heights ChiropracticChiropractor O Fallon, IL NPI 1740788587
- New Heights Integrated Health SCMulti-Specialty Clinic/Center O Fallon, IL NPI 1114431616
- O Fallon Medical Ventures LLCGeneral Practice Physician O Fallon, IL NPI 1891317517
- Regency Park Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1063034783
- Schantz Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1871115592
Other general practice physician providers in O Fallon
- Regency Park Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1063034783
- Nationwide Medical Network LLCGeneral Practice Physician O Fallon, IL NPI 1548924152
- Nationwide Medical NetworkGeneral Practice Physician O Fallon, IL NPI 1578226569
- Schantz Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1871115592
- O Fallon Medical Ventures LLCGeneral Practice Physician O Fallon, IL NPI 1891317517
About NPI 1043832769
Main Street Medical Group LLC's National Provider Identifier is 1043832769, issued on May 15, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in O Fallon, IL. The record was last updated on May 4, 2021.