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

Nationwide Medical Network LLC

Organization General Practice Physician · NPI 1548924152

Nationwide Medical Network LLC is a General Practice Physician in O Fallon, Illinois. Registered with an NPI since 2021.

In the registry since
2021
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

4020 Green Mount Crossing Dr
O Fallon, IL 62269-7287
Phone: (618) 477-9640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1548924152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Racheal Hannah — Managing Director · (618) 477-9640
NPI enumeratedOctober 29, 2021
Last updated in NPPESOctober 29, 2021
Certification dateSeptember 27, 2021
Mailing address4020 Green Mount Crossing Dr Ste 143, Shiloh, IL 62269-7287

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