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

Medical Group of Macomb, LLC

Organization Internal Medicine Physician · NPI 1356430664

Medical Group of Macomb, LLC is an Internal Medicine Physician in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
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

505 E Grant St Ste 103
Macomb, IL 61455-3308
Phone: (309) 833-3536
Fax: (309) 836-5729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)
Pediatrics Physician Taxonomy 208000000X (IL)

Record details

NPI number1356430664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Miller — President · (309) 833-3536
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 556, Macomb, IL 61455-0556

Other providers in Macomb