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

OB Practice, LLC

Organization Obstetrics & Gynecology Physician · NPI 1629386586

OB Practice, LLC is an Obstetrics & Gynecology Physician in Belleville, Illinois. Works from 2 locations. Registered with an NPI since 2010.

In the registry since
2010
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

4600 Memorial Dr Ste 400
Belleville, IL 62226
Phone: (618) 234-2390
Fax: (618) 234-9936
Show map & directions

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

Additional practice locations (1)

  • 4600 Memorial Dr Ste 240, Belleville, IL 62226-5363 — (618) 234-2390

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Gynecology Physician Taxonomy 207VG0400X

Record details

NPI number1629386586
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOB Practice, LLC
Authorized official James Davis — Executive Director · (618) 257-4644
NPI enumeratedSeptember 14, 2010
Last updated in NPPESJuly 21, 2022
Mailing address4500 Memorial Dr, Medical Affairs Credentialing Department, Belleville, IL 62226-5360

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