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ILLINOIS RURAL HEALTHCARE
NPI 1093493041
Internal Medicine in Wildwood, MO

Active since July 10, 2023
17781 HORNBEAN DR, WILDWOOD, MO 63005(312) 953-5636 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Illinois Rural Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS RURAL HEALTHCARE (NPI 1093493041) is a healthcare organization registered as an internal medicine in Wildwood, Missouri and active in the NPI registry since July 2023. The organization lists Sarfaraz Jasdanwala, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093493041
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameILLINOIS RURAL HEALTHCARE
Location Address17781 HORNBEAN DRWildwood, MO 63005-4229
Mailing Address1003 Hauck DrRolla, MO 65401-2584 · (573) 466-2056 · Fax (573) 426-3204
Phone(312) 953-5636
Organization SubpartNo
Authorized OfficialSarfaraz JasdanwalaCeo · (031) 295-3563
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1093493041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
17781 HORNBEAN DR, Wildwood, MO 63005
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED RECOVERY CENTERS
Internal Medicine (Addiction Medicine)
17781 HORNBEAN DR
WILDWOOD, MO 63005
St. Louis County (760) 908-1253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Rural Healthcare's NPI number?

The NPI number for Illinois Rural Healthcare is 1093493041. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Illinois Rural Healthcare located?

Illinois Rural Healthcare is located at 17781 Hornbean Dr, Wildwood, MO 63005. The listed phone number is (312) 953-5636.

What is Illinois Rural Healthcare's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Illinois Rural Healthcare was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.