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NPI Profile for MEMORIAL MEDICAL GROUP LLC in BELLEVILLE, IL.
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Geriatric Medicine |
207RG0300X | 11 | Physician/Internal Medicine | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine | |
Sports Medicine |
207RS0010X | 11 | Physician/Internal Medicine | |
Urology |
208800000X | 34 | Physician/Urology | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI # | 1235474057 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/05/2012 | |
| Last updated | 12/05/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MEMORIAL MEDICAL GROUP, LLC
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| OA ASSOCIATES, LLC 4700 MEMORIAL DRIVE BELLEVILLE, IL |
| PC ASSOCIATES ,LLC 4600 MEMORIAL DRIVE BELLEVILLE, IL |
| DEIRDRE HART, MD 1414 CROSS ST STE 330 SHILOH, IL |
| ST LOUIS UNIVERSITY 1225 SOUTH GRAND SAINT LOUIS, MO |
| MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY 6810 STATE ROUTE 162 MARYVILLE, IL |
| MICHAEL D BERN, MD, PHD 1 BARNES-JEWISH PLAZA SAINT LOUIS, MO |
| ENES CEVIK, MD 1 BARNES JEWISH PLAZA SAINT LOUIS, MO |
| CHANTRI TRINH, MD 3660 VISTA SAINT LOUIS, MO |
| MAN CHUN JEFFREY LAU, MD PHD 4950 CHILDRENS PLACE SAINT LOUIS, MO |
| NOAH B CHODOS, MD 1 BARNES JEWISH PLAZA SAINT LOUIS, MO |
MEMORIAL MEDICAL GROUP, LLC