Granite City Clinic Corp

NPI #1255387957 in Granite City, Illinois

Provider Information

NPI Number: 1255387957
Entity Type: Organization
Organization Name: Granite City Clinic Corp
Primary Specialty: Family Medicine
Enumeration Date: May 25, 2006
Last Updated: Jul 7, 2023

Practice Location

Address: 2044 MADISON AVE
Address 2: SUITE 27
City: Granite City
State: Illinois
ZIP Code: 62040-4641
Phone: (618) 451-7600

Authorized Official

Name: LAURA J FEY
Title: SR. DIRECTOR PHYSICIAN REV CYCLE
Phone: (615) 221-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Family Medicine	207Q00000X	Primary

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DR. Kelly M Farroll, MD	Family Medicine	Granite City	AI Deep Dive
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