Img Clinic PLLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Savoy, IL
NPI 1144975137 · NPPES record last updated Feb 17, 2022
Key facts
- NPI
- 1144975137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- IMG CLINIC PLLC
- Practice address
- 206 Burwash Ave
Savoy, IL 61874-9510 - Phone
- (313) 314-0617
- NPI assigned
- Feb 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Philip G Conrardy, MD
- Title
- Medical Director
- Phone
- (414) 491-6979
Corporate family (same tax ID) 3
Practitioners 1
National Provider Directory
- Tax ID family
- Img Clinic PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
206 Burwash Ave
Savoy, IL 61874-9510
Mailing address
610 W 11TH St
Traverse City, MI 49684-3150
Phone (313) 314-0617
Other providers in Savoy, IL
- Michelle Hooks
- Hope Centered Counseling and Consulting, LLC
- Madeline Hopkins
- Jennifer Hoskins
- Illinois Group 2023 LLC
- Jessica Wiley Therapy, LLC
- Dann Johnson
- Keona S Johnson
- Susan J. Juarez
- Katie Martin Therapy, LLC
All providers in Savoy, IL · Pain Medicine (Anesthesiology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.