Organization · Type 2 NPI
Fairview Heights Medical Group SC
Urology Physician · Edwardsville, IL
Practice location
8 Sunset Hills Professional Ctr
Edwardsville, IL 62025-3760
Fax (618) 692-7337
Mailing address
670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | None listed |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4 other providers at this address
- Christian Hospital Illinois ServicesMedical Specialty Clinic/Center Edwardsville, IL NPI 1023100195
- Fairview Heights Medical Group SCEndocrinology, Diabetes & Metabolism Physician Edwardsville, IL NPI 1386787539
- Elfatih EisaDentist Edwardsville, IL NPI 1790511020
- Michelle Kathryn Preston, RD, LDN, CDERegistered Dietitian Edwardsville, IL NPI 1255490280
About NPI 1417140609
Fairview Heights Medical Group SC's National Provider Identifier is 1417140609, issued on Aug 22, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Edwardsville, IL. The record was last updated on Jan 7, 2008.