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

Memorial Medical Group, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1235474057

Memorial Medical Group, LLC is a Pain Medicine (Anesthesiology) Physician in Belleville, Illinois. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
15
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

4550 Memorial Dr Ste 340
Belleville, IL 62226-5372
Phone: (618) 257-6302
Fax: (618) 257-4838
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Gastroenterology Physician Taxonomy 207RG0100X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X
Vascular Surgery Physician Taxonomy 2086S0129X
Urology Physician Taxonomy 208800000X

Record details

NPI number1235474057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Davis — Executive Director · (618) 257-6302
NPI enumeratedDecember 5, 2012
Last updated in NPPESDecember 5, 2012
Mailing address4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372

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