Organization · Type 2 NPI

Fairview Heights Medical Group SC

Urology Physician · Granite City, IL

NPI number 1487847638 Active

Practice location

2044 Madison Ave, Suite 15
Granite City, IL 62040-4641

Call (618) 451-1500 Map

Fax (618) 451-9498

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XNone 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.

18 other providers at this address

About NPI 1487847638

Fairview Heights Medical Group SC's National Provider Identifier is 1487847638, issued on Aug 21, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Granite City, IL. The record was last updated on Jan 7, 2008.