| Bjc Medical Group Of Illinois | |
|
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 | |
| (314) 996-7644 | |
| (314) 996-7658 |
| Full Name | Bjc Medical Group Of Illinois |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 670 Mason Ridge Center Dr Ste 300, Saint Louis, Missouri |
| Authorized Official Name and Position | John T Ellena (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3149967644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bjc Medical Group Of Illinois 670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | Bjc Medical Group Of Illinois 670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 |
| NPI Number | 1073022000 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073022000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |