Medical Group of Macomb, LLC

NPI #1356430664 in Macomb, Illinois

Provider Information

NPI Number: 1356430664
Entity Type: Organization
Organization Name: Medical Group of Macomb, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 12, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 505 E GRANT ST STE 103
City: Macomb
State: Illinois
ZIP Code: 61455-3308
Phone: (309) 833-3536

Authorized Official

Name: DR. DAVID MILLER, D.O.
Title: PRESIDENT
Phone: (309) 833-3536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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