NPIMap

Organization Active NPI

Multi-Care Specialists SC

  • Family Medicine Physician
  • Granite City, IL
National Provider Identifier
1811087604
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036099405 Issued in IL
Legal business name
MULTI-CARE SPECIALISTS SC
Practice address
3986 Maryville Rd
Granite City, IL 62040-4191
Phone
(618) 797-0618
Fax
(618) 797-2243
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Jonathon Brooks, DPCNPI 1285053504
Title
V-President
Phone
(618) 797-0618

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 036099405 IL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036099405 IL Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036085633 IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070008964 IL

Addresses

Primary practice location

3986 Maryville Rd
Granite City, IL 62040-4191

Mailing address

PO Box 20259
Springfield, IL 62708-0259
Phone (618) 797-0618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001399 IL Part B Supplier - Clinic/Group Practice 3173519881 Receives reassigned benefits from 7 practitioners
Practice locations: Granite City, IL

National Provider Directory

National Provider Directory

Locations

3986 Maryville Rd
Granite City, IL 62040
Phone (618) 797-0618

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1811087604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20259",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627080259",
            "telephone_number": "618-797-0618",
            "fax_number": "618-797-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 MARYVILLE RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404191",
            "telephone_number": "618-797-0618",
            "fax_number": "618-797-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-CARE SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "V-PRESIDENT",
        "authorized_official_telephone_number": "618-797-0618",
        "authorized_official_credential": "DPC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "036099405",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036099405",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085633",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.