Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Heights Medical Group SC

Organization Internal Medicine Physician · NPI 1164553483

Fairview Heights Medical Group SC is an Internal Medicine Physician in Alton, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2 Memorial Dr Ste 220
Alton, IL 62002-6723
Phone: (618) 462-3191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1164553483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names Alton Internal Medicine
NPI enumeratedMarch 8, 2007
Last updated in NPPESJanuary 4, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

Other providers in Alton