Arthritis Wellness Care SC

Organization Active NPI Rheumatology Physician · Bethalto, IL

NPI 1316787476 · NPPES record last updated Jun 3, 2024

Key facts

NPI
1316787476
Entity type
Organization (NPI type 2)
Primary specialty
Rheumatology Physician 207RR0500X
Legal business name
ARTHRITIS WELLNESS CARE SC
Practice address
159 E McArthur Dr Ste 3
Bethalto, IL 62010-1918
Phone
(618) 806-6676
NPI assigned
May 28, 2024
Organization subpart
No

Authorized official

Name
Dr. Saulat Mushtaq, MD NPI 1518080605
Title
Owner
Phone
(618) 806-6676

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240628000908 IL Part B Supplier - Clinic/Group Practice 8123562303 Receives reassigned benefits from 1 practitioner
Practice locations: Bethalto, IL; Fairview Heights, IL

National Provider Directory

Locations

159 E McArthur Dr
Ste 3
Bethalto, IL 62010
Phone (618) 806-6676

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RR0500X Yes

Addresses

Primary practice location

159 E McArthur Dr Ste 3
Bethalto, IL 62010-1918

Mailing address

691 Trade Center Blvd
PMB PPP
Chesterfield, MO 63005
Phone (618) 806-6676

Other practice location 1

5003 N Illinois St Ste 1
Fairview Heights, IL 62208-3419
Phone (618) 806-6676

Other providers in Bethalto, IL

All providers in Bethalto, IL · Rheumatology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.