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

Maryville Internal Medicine, Ltd

Organization Primary Care Clinic/Center · NPI 1730230848

Maryville Internal Medicine, Ltd is a Primary Care Clinic/Center in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6810 State Route 162 Ste 205
Maryville, IL 62062-8501
Phone: (618) 288-2120
Fax: (618) 288-2123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (IL)

Record details

NPI number1730230848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Garner — President · (618) 288-2120
NPI enumeratedJanuary 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6810 State Route 162, Suite 205, Maryville, IL 62062-8501

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