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

Internal Medicine O F Highland

Organization Internal Medicine Physician · NPI 1568407146

Internal Medicine O F Highland is an Internal Medicine Physician in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

6810 State Route 162 Ste 109
Maryville, IL 62062-8501
Phone: (618) 288-0030
Fax: (618) 288-0433
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)

Record details

NPI number1568407146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Halvorson — President · (618) 288-0030
NPI enumeratedJune 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6810 State Route 162, Suite 109, Maryville, IL 62062-8501

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