Western Illinois Medical Group, LLC
Western Illinois Medical Group, LLC is a Dermatology Physician in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
909 E Grant StMacomb, IL 61455-3371
Phone: (309) 837-7546
Fax: (312) 674-7546
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036099467 (IL) |
Record details
| NPI number | 1205958741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Xiaolu Li — Physician · (309) 837-7546 |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | January 18, 2023 |
| Certification date | January 18, 2023 |
| Mailing address | 909 E Grant St, Macomb, IL 61455-3371 |
Other providers in Macomb
-
Dr. Zhong Ye, MD
909 E Grant St, Macomb, IL 61455-3371 · (309) 837-7546