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

Maryville Medical Services, LLC

Organization Psychologist · NPI 1780614669

Maryville Medical Services, LLC is a Psychologist in Maryville, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

6810 State Route 162 Ste 215
Maryville, IL 62062-8501
Phone: (618) 288-5711
Fax: (618) 288-4088
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1780614669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Page — Ceo · (618) 288-5711
NPI enumeratedJuly 4, 2006
Last updated in NPPESJune 23, 2008
Mailing address6810 State Route 162, Suite 215, Maryville, IL 62062-8501

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