Organization
ASSOCIATED PHYSICIANS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S VICK DC (OWNER)
(618) 628-8211
Entity
Organization
Contact information
Practice address
4414 W CENTER DR, ALTON, IL 62002-5932
(618) 509-4870
(618) 509-4871
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
A5100
IL
Other
Enumeration date
06/18/2015
Last updated
03/29/2018
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