Organization
FAIRVIEW MEDICAL GROUP LLC
Active
Organization
FAIRVIEW MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUNIR SHENOUDA MD (PARTNER)
(618) 632-3343
Entity
Organization
Contact information
Practice address
4972 BENCHMARK CENTRE DR STE 400, SWANSEA, IL 62226-2070
(618) 632-3343
(618) 206-6281
Mailing address
317 SALEM PLACE, STE 140, FAIRVIEW HEIGHTS, IL 62208
(618) 632-3343
(618) 632-4914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
10/23/2025
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