Organization · Type 2 NPI
Med Plus Physical Medicine LLC
General Practice Physician · Maryville, IL
NPI number
1730467135
Active
Practice location
20 Professional Park Dr, Suite A
Maryville, IL 62062-5830
Fax (618) 288-9472
Mailing address
18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 248000193 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Maryville
About NPI 1730467135
Med Plus Physical Medicine LLC's National Provider Identifier is 1730467135, issued on Aug 2, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Maryville, IL. The record was last updated on Aug 2, 2011.