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1982760278
INTEGRATED MEDICAL GROUP
EDWARDSVILLE, IL
NPI
1982760278
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Entity Type
Organization
Authorized Contact
DAVID MICHAEL THAYER
Owner
618-692-6700
Organization Subpart ?
No
Primary Taxonomy
261QR0400X Clinic/Center Rehabilitation
Enumeration Date
2006-12-29
Last Update Date
2009-05-11
Business Address
INTEGRATED MEDICAL GROUP
435 S BUCHANAN ST SUITE B
EDWARDSVILLE, IL 62025-2091
Phone number: 618-692-6700
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Mailing Address
INTEGRATED MEDICAL GROUP
PO BOX 997
EDWARDSVILLE, IL 62025-0997
Phone number: 618-692-6700
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