NPI Index

MEMORIAL MEDICAL GROUP, LLC

Internal Medicine

Active Organization
NPI: 1235474057

Practice Address

4550 MEMORIAL DR
STE. 340
Belleville, IL 62226

Phone: (618) 257-6302

Specialties

Specialty Code Primary License
Anesthesiology - Pain Medicine 207LP2900X No -
Family Medicine 207Q00000X No -
Internal Medicine - Cardiovascular Disease 207RC0000X No -
Internal Medicine - Clinical Cardiac Electrophysiology 207RC0001X No -
Internal Medicine - Gastroenterology 207RG0100X No -
Internal Medicine - Geriatric Medicine 207RG0300X No -
Internal Medicine - Pulmonary Disease 207RP1001X No -
Internal Medicine - Sports Medicine 207RS0010X No -
Obstetrics & Gynecology 207V00000X No -
Orthopaedic Surgery 207X00000X No -
Physical Medicine & Rehabilitation 208100000X No -
Surgery - Plastic and Reconstructive Surgery 2086S0122X No -
Surgery - Vascular Surgery 2086S0129X No -
Urology 208800000X No -
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1235474057 is the National Provider Identifier for MEMORIAL MEDICAL GROUP, LLC, a Internal Medicine provider located in Belleville, IL. This NPI was enumerated on December 5, 2012.

Quick Facts

NPI
1235474057
Type
Organization
Enumerated
Dec 5, 2012
Last Updated
Dec 5, 2012

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