Organization
ASSOCIATED PHYSICIANS GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE L CARSON (BILLING SUPERVISOR)
(618) 628-8211
Entity
Organization
Contact information
Practice address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 682-0883
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 682-0883
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
042007668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08220357
BCBS OF IL GROUP NUMBER
IL
Enumeration date
05/18/2006
Last updated
07/08/2010
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