# IMG CLINIC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144975137
- **Authorized official:** PHILIP G CONRARDY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (414) 491-6979

## Contact information

- **Practice address:** 206 BURWASH AVE, SAVOY, IL 61874-9510
- **Practice address phone:** (313) 314-0617
- **Mailing address:** 610 W 11TH ST, TRAVERSE CITY, MI 49684-3150
- **Mailing address phone:** (313) 314-0617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2022
- **Last updated:** 02/17/2022