MARYVILLE WOMENS CENTER PC
NPI 1356857171
Obstetrics & Gynecology in Glen Carbon, IL

Active since December 15, 2017
4972 STATE ROUTE 159, GLEN CARBON, IL 62034(618) 288-2970(618) 288-3572 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, Oct 25, 2019, Dec 15, 2017 (3 updates tracked since 2017).

About Maryville Womens Center Pc NPPES

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

MARYVILLE WOMENS CENTER PC (NPI 1356857171) is a healthcare organization registered as an obstetrics & gynecology in Glen Carbon, Illinois and active in the NPI registry since December 2017. The organization lists Lori Beer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1356857171
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARYVILLE WOMENS CENTER PC
Location Address4972 STATE ROUTE 159Glen Carbon, IL 62034
Mailing Address4972 State Route 159Glen Carbon, IL 62034 · (618) 288-2970 · Fax (618) 288-3572
Fax(618) 288-3572
Organization SubpartNo
Authorized OfficialLori BeerPractice Manager · (618) 288-2970
Enumeration DateDecember 15, 2017
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1356857171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4972 STATE ROUTE 159, Glen Carbon, IL 62034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
4972 STATE ROUTE 159
GLEN CARBON, IL 62034
Nurse Practitioner (Women's Health)
4972 STATE ROUTE 159
GLEN CARBON, IL 62034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356857171, enumerated as an "organization" on December 15, 2017.

The provider is located at 4972 STATE ROUTE 159 GLEN CARBON, IL 62034 and the phone number is (618) 288-2970.

Obstetrics & Gynecology with taxonomy code 207V00000X.