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

Fairview Heights Medical Group SC

Organization Family Medicine Physician · NPI 1780715441

Fairview Heights Medical Group SC is a Family Medicine Physician in Bethalto, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

155 E Bethalto Dr
Bethalto, IL 62010-1801
Phone: (618) 377-8961
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1780715441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names Family Physicians Of Bethalto
NPI enumeratedMarch 7, 2007
Last updated in NPPESJanuary 7, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

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