Organization · Type 2 NPI

Nationwide Medical Network LLC

General Practice Physician · O Fallon, IL

NPI number 1548924152 Active

Practice location

4020 Green Mount Crossing Dr
O Fallon, IL 62269-7287

Mailing address

4020 Green Mount Crossing Dr Ste 143
Shiloh, IL 62269-7287

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone 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.

3 other providers at this address

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About NPI 1548924152

Nationwide Medical Network LLC's National Provider Identifier is 1548924152, issued on Oct 29, 2021. 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 Oct 29, 2021.