Fairview Medical Group Llc

LBN: Fairview Medical Group Llc
Fairview Medical Group Llc is an health care organization with primary practice located at 317 Salem Place Ste 140, Fairview Heights IL 62208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fairview Medical Group Llc can be contacted via phone (618) 632-3343, or through Shenouda, Mounir via phone (618) 632-3343.

Contact Information

Primary practice address
317 Salem Place Ste 140 Fairview Heights IL 62208
Phone: (618) 632-3343
Fax: (618) 632-4914
Website:
Map and Directions
Authorized official contact:
Name: Shenouda, Mounir Doctor of Medicine (MD)
Phone: (618) 632-3343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1427009232
LBN Legal business name Fairview Medical Group Llc
DBA Doing business as
Authorized official Shenouda, Mounir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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