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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None 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
Other general practice physician providers in O Fallon
- Main Street Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1043832769
- Regency Park Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1063034783
- Nationwide Medical NetworkGeneral Practice Physician O Fallon, IL NPI 1578226569
- Schantz Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1871115592
- O Fallon Medical Ventures LLCGeneral Practice Physician O Fallon, IL NPI 1891317517
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.