Physical Medicine Clinic of Granite City Ltd
NPI 1083986541 · Non-Pharmacy Dispensing Site · Granite City, IL
Physical Medicine Clinic of Granite City Ltd is a Non-Pharmacy Dispensing Site organization in Granite City, IL (NPI 1083986541).
Provider details
- NPI number
- 1083986541
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Physical Medicine Clinic of Granite City Ltd
- Organization subpart
- Yes
- Authorized official
- Bud Chombirun, Medical Director(618) 877-4000
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-01-31
- Last updated
- 2012-01-31
Frequently asked questions
- What is Physical Medicine Clinic of Granite City Ltd's NPI number?
- Physical Medicine Clinic of Granite City Ltd's National Provider Identifier (NPI) is 1083986541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physical Medicine Clinic of Granite City Ltd?
- Physical Medicine Clinic of Granite City Ltd is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Physical Medicine Clinic of Granite City Ltd located?
- Physical Medicine Clinic of Granite City Ltd's practice location on file with NPPES is 2861 Madison Ave, Granite City, IL 62040-3614.
- What is Physical Medicine Clinic of Granite City Ltd's phone number?
- The practice phone number listed in the NPPES registry for Physical Medicine Clinic of Granite City Ltd is (618) 877-4000.
- Who is the authorized official for Physical Medicine Clinic of Granite City Ltd?
- The authorized official listed on Physical Medicine Clinic of Granite City Ltd's NPPES record is Bud Chombirun, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physical Medicine Clinic of Granite City Ltd's NPI active?
- Yes — Physical Medicine Clinic of Granite City Ltd's NPI (1083986541) is active in the NPPES registry as of the last update on 2012-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.