Adult Internal Medicine Practice LLC

NPI #1265688238 in Swansea, Illinois

Provider Information

NPI Number: 1265688238
Entity Type: Organization
Organization Name: Adult Internal Medicine Practice LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 11, 2008
Last Updated: Sep 6, 2021

Practice Location

Address: 15 PARK PL
City: Swansea
State: Illinois
ZIP Code: 62226-2918
Phone: (618) 257-0780

Authorized Official

Name: DR. CHARLES W AMPADU, M.D.
Title: OWNER
Phone: (618) 257-0780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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