Organization
INTEGRATED MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M THAYER DC (PRESIDENT)
(618) 692-6700
Entity
Organization
Contact information
Practice address
344 S FILLMORE ST, EDWARDSVILLE, IL 62025-2115
(618) 692-6700
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 692-6700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/14/2008
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