MED PLUS PHYSICAL MEDICINE LLC (NPI# 1730467135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730467135 |
| Entity Type | Organization |
| Organization Name | MED PLUS PHYSICAL MEDICINE LLC |
| Practice Address |
20 Professional Park Dr Suite A Maryville IL 62062-5830 |
| Mailing Address |
18209 Eula Mae Pkwy Carlyle IL 62231-6407 |
| Practice Telephone | 6182885044 |
| Practice Fax Number | 6182889472 |
| Mailing Telephone | 6185943671 |
| Mailing Fax Number | 6185948058 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | MATTHEW W BRETZ (OWNER) |
| Authorized Official Telephone | 6185943671 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 248000193 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053606020 | Med Plus Physical Medicine LLC | General Practice | 18209 Eula Mae Pkwy, Carlyle, IL 62231-6407 | 2011-06-17 |
| Street Address |
20 PROFESSIONAL PARK DR SUITE A |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922560101 | Amanda M Eversgerd | Nurse Practitioner | 20 Professional Park Dr, Maryville, IL 62062-5830 | 2019-04-04 |
| 1821357807 | Associated Physicians Group Ltd | Physical Medicine & Rehabilitation | 20 Professional Park Dr, Suite A, Maryville, IL 62062-5830 | 2012-05-10 |
| 1720354889 | Jason R Delaney | Physical Therapist | 20 Professional Park Dr, Suite B, Maryville, IL 62062-5830 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275044265 | Integrative Medical Solutions | General Practice | 2720 N Center St Ste 200, Maryville, IL 62062-5848 | 2017-10-17 |
| 1609069822 | Kelli Louise Dubinsky | General Practice | 30227 Us Highway 136, Maryville, MO 64468-8353 | 2007-08-21 |
| 1366913881 | Sunshine Medical Centers PC | General Practice | 380 High St, Maryville, TN 37804-5846 | 2018-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MED PLUS PHYSICAL MEDICINE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.