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

St Louis Nephrology and Hypertension

Organization Nephrology Physician · NPI 1174601124

St Louis Nephrology and Hypertension is a Nephrology Physician in Maryville, Illinois. Works from 3 locations. Medicare rates this dialysis facility 3 out of 5. Licensed in Missouri.

CMS rating
3 of 5
Licensed in
MO
In the registry since
2006

CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 142634)

Practice location Address checks out

2102 Vadalabene Dr
Maryville, IL 62062-5632
Phone: (618) 288-1196
Show map & directions

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

Additional practice locations (2)

  • 101 Lanter Ct, Collinsville, IL 62234-6124 — (618) 344-2080
  • 9 American Vlg, Granite City, IL 62040-3706 — (618) 452-5858

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence R9H62 (MO)

Record details

NPI number1174601124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Purcell — President · (314) 276-7664
NPI enumeratedNovember 1, 2006
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing addressPo Box 797021, Saint Louis, MO 63179-7000

Other providers in Maryville