Physicians Group Associates SC
Physicians Group Associates SC is a Family Medicine Physician in New Berlin, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 3
Practice location Address checks out
111 N Main StNew Berlin, IL 62670-4593
Phone: (217) 488-2201
Fax: (217) 488-3508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036064159 (IL) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209-003289 (IL) |
Record details
| NPI number | 1366779282 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Lafata — President · (217) 698-9722 |
| NPI enumerated | November 13, 2009 |
| Last updated in NPPES | July 24, 2013 |
| Mailing address | Po Box 500, Chatham, IL 62629-0500 |