Associated Physicians Group LTD
Organization Active NPI Physician Assistant · Waterloo, IL
NPI 1346784675 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1346784675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085.005551 (IL)
- Legal business name
- ASSOCIATED PHYSICIANS GROUP LTD
- Practice address
- 509 Hamacher St
Suite 202
Waterloo, IL 62298-1592 - Phone
- (618) 939-5979
- Fax
- (618) 939-5984
- NPI assigned
- Dec 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Renee L Carson
- Title
- Credentialing Specialist
- Phone
- (618) 628-8211
Corporate family (same tax ID) 4
Practitioners 1
-
John Steve Vick, DC
National Provider Directory
- Tax ID family
- Associated Physicians GRP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | 085.005551 | IL | Yes |
Addresses
Primary practice location
509 Hamacher St
Suite 202
Waterloo, IL 62298-1592
Mailing address
916 Talon Dr
Suite 102
O Fallon, IL 62269-1848
Phone (618) 628-8211
Other providers in Waterloo, IL
- American Healthcare Systems Illinois LLC
- Ams Speech Therapy, P.C.
- Jan Armbruster
- Stephanie Jo Arms
- Heriberto Arzola
- At Medical Equipment LLC
- Taylor Augustine
- Jody Lynn Barlow
- Margie Baum
- Darryll Leonard Beard
All providers in Waterloo, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. 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.