Macomb Internal Medicine LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MACOMB INTERNAL MEDICINE LTD

Practice address

515 E Grant St
Ste 111
Macomb, IL 61455-3315

Phone

(309) 837-9926

Fax

(309) 833-1417

NPI assigned

Dec 6, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David W Reem, MD

Title

MD/President

Phone

(309) 837-9926

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noel L Flores, M.D.

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1316921000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1154305852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GRANT ST",
            "address_2": "STE 111",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553315",
            "telephone_number": "309-837-9926",
            "fax_number": "309-833-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GRANT ST",
            "address_2": "STE 111",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553315",
            "telephone_number": "309-837-9926",
            "fax_number": "309-833-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB INTERNAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "REEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "309-837-9926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "05532012",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Louck Davis, PSYD
• Camryn Lound, MSAT, LAT, ATC
• Mark Eugene Lovell, ATC/L
• Macomb Comm Unit SCH Dist 185
• Macomb Emergency Physicians PLLC
• Macomb Medical Associates, LLC
• Macomb Mental Wellness LLC
• Macomb Oncology Institute LTD
• Macomb Post Acute Care Center LLC
• Macomb Senior Living Center

• Internal Medicine Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.