OrganizationActive
Integrated Medical Group Ltd
NPI 1619176054 · Chiropractor · Edwardsville, IL
Provider details
- NPI number
- 1619176054
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- David Thayer, President(618) 692-6700
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
344 S Fillmore St
Edwardsville, IL 62025-2115
Phone: (618) 692-6700
Street-level locationGet directions
Mailing address
Po Box 997
Edwardsville, IL 62025-0997
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2008-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.