# DRS PICHET & MEECHAI

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

## Provider details

- **NPI number:** 1407018781
- **Authorized official:** MRS. DOROTHY GROSS (SECRETARY)
- **Authorized official phone:** (618) 939-8648

## Contact information

- **Practice address:** 509 HAMACHER ST STE 200B, WATERLOO, IL 62298-1592
- **Practice address phone:** (618) 939-8648
- **Practice address fax:** (618) 939-8650
- **Mailing address:** PO BOX 170, 509 HAMACHER ST, STE 200B, WATERLOO, IL 62298-0170
- **Mailing address phone:** (618) 939-8648
- **Mailing address fax:** (618) 939-8650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 06/27/2008
