OrganizationActive
Associated Physicians Group, Ltd
NPI 1811940893 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · O Fallon, IL
Provider details
- NPI number
- 1811940893
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renee Carson, Billing Supervisor(618) 628-8211
- License
- 042007668 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
916 Talon Dr
Suite 102
O Fallon, IL 62269-1848
Phone: (618) 628-8211
Fax: (618) 682-0883
Approximate (ZIP-level) locationGet directions
Mailing address
916 Talon Dr
O Fallon, IL 62269-1848
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2010-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.