| Bjc Medical Group of Illinois | |
|
660 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8512 | |
| (314) 996-7644 | |
| (314) 996-7658 |
| Full Name | Bjc Medical Group of Illinois |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 660 Mason Ridge Center Dr Ste 300, Saint Louis, Missouri |
| Authorized Official Name and Position | John T Ellena (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3149967644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bjc Medical Group of Illinois 660 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8512 Ph: (314) 996-7663 | Bjc Medical Group of Illinois 660 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8512 Ph: (314) 996-7644 |
| NPI Number | 1073022000 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 09/03/2025 |
| Certification Date | 09/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073022000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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