| Integrated Medical Group Ltd | |
|
435 S Buchanan St Ste B, Edwardsville, IL 62025-2091 | |
| (618) 692-6700 | |
| (618) 692-6711 |
| Full Name | Integrated Medical Group Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 435 S Buchanan St Ste B, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487750691 | NPI | - | NPPES |
| 583609003 | Other | IL | DME NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038009512 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038010423 (Illinois) | Primary |
| 111N00000X | Chiropractor | 038010464 (Illinois) | Secondary |
| Provider Name | David M Thayer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689642951 PECOS PAC ID: 4880680537 Enrollment ID: I20040420001719 |
| Provider Name | Dustin C Rosenburg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407187875 PECOS PAC ID: 8123153806 Enrollment ID: I20100319000411 |
| Provider Name | Lance Sterling Rahden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841563004 PECOS PAC ID: 4284881673 Enrollment ID: I20120820000656 |
| Provider Name | Chelsea Lee Durbin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346631801 PECOS PAC ID: 7618293135 Enrollment ID: I20150227001329 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medical Group Ltd Po Box 997, Edwardsville, IL 62025-0997 Ph: (618) 692-6700 | Integrated Medical Group Ltd 435 S Buchanan St Ste B, Edwardsville, IL 62025-2091 Ph: (618) 692-6700 |
Better Health & Performance Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1409 Troy Rd, Edwardsville, IL 62025 Phone: 618-659-2080 | |
Dr. Curtis Ralph Baird, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 239 S Main St, Edwardsville, IL 62025 Phone: 618-656-6565 Fax: 618-656-6947 | |
Dr. Joshua Rhead Hopkins, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 435 S Buchanan St, Edwardsville, IL 62025 Phone: 618-692-6700 Fax: 618-692-6711 | |
Kenneth Ryan Rozell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 Phone: 618-709-2401 | |
Ama Chiropractic Alternative Services Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 340 South Fillmore St, Edwardsville, IL 62025 Phone: 618-692-9763 Fax: 618-692-9772 | |
Nicholas Morey Rozell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1254 University Dr Ste 120, Edwardsville, IL 62025 Phone: 618-307-9383 Fax: 888-979-6608 | |
Anita M Reising Dc Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 315 N Main St, Ste 1, Edwardsville, IL 62025 Phone: 618-656-0178 |