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

SSM Depaul Medical Group

Organization Adult Medicine Physician · NPI 1891123477

SSM Depaul Medical Group is an Adult Medicine Physician in Saint Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1551 Wall St Ste 400
Saint Charles, MO 63303-3539
Phone: (636) 669-2420
Fax: (636) 669-2401
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 2004019662 (MO)
Adult Medicine Physician Taxonomy 207QA0505X

Record details

NPI number1891123477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pullum — Director · (636) 669-2434
NPI enumeratedOctober 17, 2013
Last updated in NPPESOctober 17, 2013
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3539

Other providers in Saint Charles