Organization · Type 2 NPI

Physical Medicine Clinic of Granite City Ltd

Non-Pharmacy Dispensing Site · Granite City, IL

NPI number 1083986541 Active

Practice location

2861 Madison Ave
Granite City, IL 62040-3614

Call (618) 877-4000 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

9 other providers at this address

About NPI 1083986541

Physical Medicine Clinic of Granite City Ltd's National Provider Identifier is 1083986541, issued on Jan 31, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Granite City, IL. The record was last updated on Jan 31, 2012.