Organization
MARYVILLE WOMENS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BEER (PRACTICE MANAGER)
(618) 288-2970
Entity
Organization
Contact information
Practice address
4972 STATE ROUTE 159, GLEN CARBON, IL 62034
(618) 288-2970
(618) 288-3572
Mailing address
4972 STATE ROUTE 159, GLEN CARBON, IL 62034
(618) 288-2970
(618) 288-3572
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
04/29/2026
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