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

Professional Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1376835207

Professional Internal Medicine LLC is an Internal Medicine Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
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

4625 Lindell Blvd Ste 507
Saint Louis, MO 63108-3725
Phone: (314) 367-4800
Fax: (314) 367-6400
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 36902 (MO)

Record details

NPI number1376835207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Rybicki — Physician · (314) 367-4800
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011
Mailing address4625 Lindell Blvd, Suite 507, Saint Louis, MO 63108-3725

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