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

Granite City Emergency Medicine Providers LLC

Organization Emergency Medicine Physician · NPI 1861946626

Granite City Emergency Medicine Providers LLC is an Emergency Medicine Physician in Carbondale, Illinois. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2250 N Illinois Ave
Carbondale, IL 62901-5612
Phone: (618) 833-1691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1861946626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Doolittle — Ceo · (618) 833-1691
NPI enumeratedAugust 10, 2016
Last updated in NPPESJanuary 24, 2017
Mailing address2250 N Illinois Ave, Carbondale, IL 62901-5612

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