institution
Physical Medicine Clinic Of Granite City Ltd
Adult Health Nurse Practitioner in Granite City, Illinois
NPI 1992039747

Physical Medicine Clinic Of Granite City Ltd is an Adult Health Nurse Practitioner based in Granite City, IL and is specialized in Adult Health. Physical Medicine Clinic Of Granite City Ltd practices in Granite City, IL. The NPI Number for Physical Medicine Clinic Of Granite City Ltd is 1992039747 and holds a License No. 038009646 (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 and via fax at 618-877-0874.

Location: 2861 Madison Ave, Granite City, IL, 62040-3614
institution
Provider Profile Details
NPI Number
1992039747
Provider Name
Physical Medicine Clinic Of Granite City Ltd
Credential
Provider Entity Type
Organization
Address
2861 Madison Ave, Granite City, IL, 62040-3614
Phone Number
618-877-4000
Fax Number
618-877-0874
Provider Enumeration Date
09/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2861 Madison Ave
City
State
Zip
62040-3614
Phone Number
618-877-4000
Fax Number
618-877-0874
person
Provider Business Mailing Address Details
Address
2861 Madison Ave
City
State
Zip
62040-3614
Phone Number
618-877-4000
Fax Number
618-877-0874
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
209007631 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
038009646 (Illinois)
Definition
Definition to come...
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