Ten Broeck Tennessee Physicians Group INC
NPI #1275155418 in Belleville, Illinois
Provider Information
- NPI Number
- 1275155418
- Entity Type
- Organization
- Organization Name
- Ten Broeck Tennessee Physicians Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TEN BROECK TENNESSEE PHYSICIANS GROUP INC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
Practice Location
- Address
- 45OO MEMORIAL DRIVE
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5399
- Phone
- (618) 257-5900
Authorized Official
- Name
- GLENDA F GUY
- Title
- DIRECTOR, COMPLIANCE
- Phone
- (931) 783-2511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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