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EDWARDSVILLE PHYSICIANS GROUP LLC
NPI 1376014175
Surgery in Edwardsville, IL

Active since December 06, 2018
441 SOUTH STATE ROUTE 157 SUITE 102, EDWARDSVILLE, IL 62025(618) 254-2273(618) 254-8476 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwardsville Physicians Group Llc NPPES

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

EDWARDSVILLE PHYSICIANS GROUP LLC (NPI 1376014175) is a healthcare organization registered as a surgery in Edwardsville, Illinois and active in the NPI registry since December 2018. The organization lists Michael Harbison, President/owner, as its authorized official.

NPPES Registry Identity

NPI1376014175
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEDWARDSVILLE PHYSICIANS GROUP LLC
Location Address441 SOUTH STATE ROUTE 157 SUITE 102Edwardsville, IL 62025-4012
Mailing Address441 South State Route 157 Suite 102Edwardsville, IL 62025-4012 · (618) 254-2273 · Fax (618) 254-8476
Phone(618) 254-2273
Fax(618) 254-8476
Organization SubpartNo
Authorized OfficialMichael HarbisonPresident/owner · (618) 254-2273
Enumeration DateDecember 6, 2018
✔ NPI 1376014175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
441 SOUTH STATE ROUTE 157 SUITE 102, Edwardsville, IL 62025
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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

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 Edwardsville Physicians Group LLC's NPI number?

The NPI number for Edwardsville Physicians Group LLC is 1376014175. It was assigned to this organization in the NPPES registry on December 6, 2018.

Where is Edwardsville Physicians Group LLC located?

Edwardsville Physicians Group LLC is located at 441 South State Route 157 Suite 102, Edwardsville, IL 62025. The listed phone number is (618) 254-2273.

What is Edwardsville Physicians Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Edwardsville Physicians Group LLC was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.