Integrated Medical Group
NPI #1982760278 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1982760278
- Entity Type
- Organization
- Organization Name
- Integrated Medical Group
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Dec 29, 2006
- Last Updated
- May 11, 2009
Practice Location
- Address
- 435 S BUCHANAN ST
- Address 2
- SUITE B
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-2091
- Phone
- (618) 692-6700
Authorized Official
- Name
- DR. DAVID MICHAEL THAYER, DC
- Title
- OWNER
- Phone
- (618) 692-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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