OrganizationActive
Integrated Medical Group, Ltd
NPI 1023175098 · Customized Equipment (DME) · Edwardsville, IL
Provider details
- NPI number
- 1023175098
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- David Thayer, Owner(618) 654-3900
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
435-B South Buchanan St
Edwardsville, IL 62025-2091
Phone: (618) 692-6700
Street-level locationGet directions
Mailing address
Po Box 997
Edwardsville, IL 62025-0997
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2009-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.