Nationwide Medical Network

NPI #1578226569 in O Fallon, Illinois

Provider Information

NPI Number: 1578226569
Entity Type: Organization
Organization Name: Nationwide Medical Network
Primary Specialty: General Practice
Enumeration Date: Oct 18, 2021
Last Updated: Oct 18, 2021

Practice Location

Address: 1333 CENTRAL PARK DRIVE SUITE 102
City: O Fallon
State: Illinois
ZIP Code: 62269
Phone: (618) 477-4960

Authorized Official

Name: RACHEAL HANNAH
Title: MANAGING DIRECTOR
Phone: (618) 477-9640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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