# ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Louis Cardiology Consultants, Alton MultiSpecialists Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558783647
- **Authorized official:** SUSAN KOESTERER (VICE PRESIDENT, CFO)
- **Authorized official phone:** (314) 653-5715

## Contact information

- **Practice address:** 1 PROFESSIONAL DR, ALTON, IL 62002
- **Practice address phone:** (618) 474-0130
- **Mailing address:** 1 MEMORIAL DRIVE, ATTN: ADMINISTRATION, ALTON, IL 62002-6722
- **Mailing address phone:** (618) 463-7268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 03/25/2021