OrganizationActive
Associated Physicians Group Ltd
NPI 1346784675 · Physician Assistant · Waterloo, IL
Provider details
- NPI number
- 1346784675
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Renee Carson, Credentialing Specialist(618) 628-8211
- License
- 085.005551 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
509 Hamacher St
Suite 202
Waterloo, IL 62298-1592
Phone: (618) 939-5979
Fax: (618) 939-5984
Approximate (ZIP-level) locationGet directions
Mailing address
916 Talon Dr
O Fallon, IL 62269-1848
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.