Old Six Mile Inpatient Services, LLC
NPI #1285060665 in Granite City, Illinois
Provider Information
- NPI Number
- 1285060665
- Entity Type
- Organization
- Organization Name
- Old Six Mile Inpatient Services, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 18, 2013
- Last Updated
- Dec 10, 2013
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4701
- Phone
- (618) 798-3000
Authorized Official
- Name
- DOUGLAS WEBSTER, DO
- Title
- PRESIDENT
- Phone
- (469) 401-2386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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