Physical Medicine Clinic Of Granite City Ltd

LBN: Physical Medicine Clinic Of Granite City Ltd
Physical Medicine Clinic Of Granite City Ltd is an health care organization with primary practice located at 2861 Madison Ave , Granite City IL 62040-3614. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Physical Medicine Clinic Of Granite City Ltd can be contacted via phone (618) 877-4000, or through Chombirun, Bud via phone (618) 877-4000.

Contact Information

Primary practice address
2861 Madison Ave Granite City IL 62040-3614
Phone: (618) 877-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chombirun, Bud Doctor of Medicine (MD)
Phone: (618) 877-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1083986541
LBN Legal business name Physical Medicine Clinic Of Granite City Ltd
DBA Doing business as
Authorized official Chombirun, Bud Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 31st, 2012
Last updated Jan 31st, 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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