Organization · Type 2 NPI
Fairview Heights Medical Group SC
Primary Care Clinic/Center · Alton, IL
NPI number
1053477554
Active
Practice location
230 Regional Dr
Alton, IL 62002-5942
Fax (618) 465-7080
Mailing address
670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
Other primary care clinic/center providers in Alton
About NPI 1053477554
Fairview Heights Medical Group SC's National Provider Identifier is 1053477554, issued on Dec 29, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Alton, IL. The record was last updated on Jan 7, 2008.