Organization · Type 2 NPI
Integrative Performance Medical Group, PLLC
Specialist · Edwardsville, IL
NPI number
1699232637
Active
Practice location
200 S Buchanan St
Edwardsville, IL 62025-2109
Fax (618) 283-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Edwardsville
About NPI 1699232637
Integrative Performance Medical Group, PLLC's National Provider Identifier is 1699232637, issued on Feb 26, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edwardsville, IL. The record was last updated on Feb 26, 2019.