Organization
INTEGRATED MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL THAYER DC,FIAMA,DIPL.AC (OWNER)
(618) 692-6700
Entity
Organization
Contact information
Practice address
8 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
(618) 692-6700
(618) 692-6711
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 692-6700
(618) 692-6711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012734
IL
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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