Organization
INTERNAL MEDICINE SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EARNSHAW MD (OWNER)
(618) 465-5414
Entity
Organization
Contact information
Practice address
815 E 5TH ST, SUITE 408, ALTON, IL 62002-6471
(618) 465-5414
(618) 465-9865
Mailing address
103B SOUTHPOINTE, EDWARDSVILLE, IL 62025-3651
(618) 692-9640
(618) 692-9643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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