| |
2044 Madison Ave Suite 15 Granite City IL 62040-4641 | |
(618) 798-8652 | |
(618) 798-8116 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 2044 Madison Ave, Granite City, Illinois |
Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
Authorized Official Contact | 6152213641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (152) 221-1400 | 2044 Madison Ave Suite 15 Granite City IL 62040-4641 Ph: (618) 798-8652 |
NPI Number | 1073567483 |
---|---|
Provider Enumeration Date | 05/20/2006 |
Last Update Date | 07/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073567483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Granite City Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 27, Granite City, IL 62040 Phone: 618-451-7600 Fax: 618-451-7685 | |
Old Six Mile Inpatient Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
American Healthcare Systems Illinois Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 818-666-0602 | |