Organization
ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC
Active
Other names
St. Louis Cardiology Consultants, Alton MultiSpecialists Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KOESTERER (VICE PRESIDENT, CFO)
(314) 653-5715
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL DR, ALTON, IL 62002
(618) 474-0130
Mailing address
1 MEMORIAL DRIVE, ATTN: ADMINISTRATION, ALTON, IL 62002-6722
(618) 463-7268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
03/25/2021
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