Organization
INTEGRATED MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL THAYER DC (OWNER)
(618) 654-3900
Entity
Organization
Contact information
Practice address
811 BROADWAY, HIGHLAND, IL 62249-1801
(618) 654-3900
(618) 654-1707
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 654-3900
(618) 654-1707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
07/14/2008
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