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Physical Medicine Clinic Of Granite City Ltd
Non-Pharmacy Dispensing Site in Granite City, Illinois
NPI 1083986541

Physical Medicine Clinic Of Granite City Ltd is a Non-Pharmacy Dispensing Site based in Los Angeles, IL. Physical Medicine Clinic Of Granite City Ltd practices in Granite City, IL. The NPI Number for Physical Medicine Clinic Of Granite City Ltd is 1083986541 and holds a License No. (Illinois).

The current practice location address for Physical Medicine Clinic Of Granite City Ltd is 2861 Madison Ave, Granite City, IL and can be reached out via phone at 618-877-4000.

Location: 2861 Madison Ave, Granite City, IL, 90077-1726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083986541
Provider Name
Physical Medicine Clinic Of Granite City Ltd
Credential
Provider Entity Type
Organization
Address
2861 Madison Ave, Granite City, IL, 90077-1726
Phone Number
618-877-4000
Fax Number
Provider Enumeration Date
01/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2861 Madison Ave
City
Granite City
State
Illinois
Zip
62040-3614
Phone Number
618-877-4000
Fax Number
person
Provider Business Mailing Address Details
Address
2861 Madison Ave
City
Granite City
State
Illinois
Zip
62040-3614
Phone Number
618-877-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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