Organization · Type 2 NPI
O Fallon Medical Ventures LLC
General Practice Physician · O Fallon, IL
NPI number
1891317517
Active
Practice location
124 Regency Park Ste 7
O Fallon, IL 62269-1994
Mailing address
2250 E Germann Rd Ste 8
Chandler, AZ 85286-1575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Physical Therapist | 225100000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | 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.
5 other providers at this address
- Main Street Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1043832769
- New Heights ChiropracticChiropractor O Fallon, IL NPI 1740788587
- New Heights Integrated Health SCMulti-Specialty Clinic/Center O Fallon, IL NPI 1114431616
- Regency Park Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1063034783
- Schantz Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1871115592
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 Network LLCGeneral Practice Physician O Fallon, IL NPI 1548924152
- Nationwide Medical NetworkGeneral Practice Physician O Fallon, IL NPI 1578226569
- Schantz Medical Group LLCGeneral Practice Physician O Fallon, IL NPI 1871115592
About NPI 1891317517
O Fallon Medical Ventures LLC's National Provider Identifier is 1891317517, issued on May 15, 2020. 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 May 15, 2020.