Memorial Medical Group, Llc

LBN: Memorial Medical Group, Llc
Memorial Medical Group, Llc is an health care organization with primary practice located at 4550 Memorial Dr Ste. 340, Belleville IL 62226-5372. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Memorial Medical Group, Llc can be contacted via phone (618) 257-6302, or through Davis, James B. via phone (618) 257-6302.

Contact Information

Primary practice address
4550 Memorial Dr Ste. 340 Belleville IL 62226-5372
Phone: (618) 257-6302
Fax: (618) 257-4838
Website:
Map and Directions
Authorized official contact:
Name: Davis, James B.
Phone: (618) 257-6302

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1235474057
LBN Legal business name Memorial Medical Group, Llc
DBA Doing business as
Authorized official Davis, James B.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 12 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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