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TEN BROECK TENNESSEE PHYSICIANS GROUP INC
NPI 1396321410
Clinic/Center - Adult Mental Health in Murphysboro, IL

Active since March 19, 2021
2 S HOSPITAL DR, MURPHYSBORO, IL 62966(618) 684-3156(618) 684-1024 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ten Broeck Tennessee Physicians Group Inc NPPES

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

TEN BROECK TENNESSEE PHYSICIANS GROUP INC (NPI 1396321410), doing business as Senior Renewal: Murphysboro, is a healthcare organization registered as an adult mental health in Murphysboro, Illinois and active in the NPI registry since March 2021. The organization lists Glenda F Guy, Director Compliance, as its authorized official.

NPPES Registry Identity

NPI1396321410
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTEN BROECK TENNESSEE PHYSICIANS GROUP INC
Location Address2 S HOSPITAL DRMurphysboro, IL 62966-3333
Mailing Address603 Main StWindermere, FL 34786-3548 · (407) 876-2200
Phone(618) 684-3156
Fax(618) 684-1024
Organization SubpartNo
Authorized OfficialGlenda F GuyDirector Compliance · (931) 607-6513
Enumeration DateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1396321410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 S HOSPITAL DR, Murphysboro, IL 62966
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Other Names 1

Doing Business AsSenior Renewal: Murphysboro

Other Providers at the Same Location NPPES 20

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

MOHAMMED GUBA M.D.
Hospitalist
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156
DR. MARK T DONVITO M.D.
Emergency Medicine
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156
SAHITYA SETTYPALLI M.D
Preventive Medicine (Undersea and Hyperbaric Medicine)
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-1035
DR. ROBIN VARGHESE M.B.B.S, MD
Hospitalist
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156
STEPHEN REESE HOLLEY MD
Hospitalist
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156
BETH JANELLE STEWART
Nurse Anesthetist, Certified Registered
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156
DR. GERALD WAYNE MCCLALLEN D.O.
Emergency Medicine
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156
DR. JOHN T. GIRARDI MD
Emergency Medicine
2 S HOSPITAL DR
MURPHYSBORO, IL 62966
Jackson County (618) 684-3156

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 Ten Broeck Tennessee Physicians Group Inc's NPI number?

The NPI number for Ten Broeck Tennessee Physicians Group Inc is 1396321410. It was assigned to this organization in the NPPES registry on March 19, 2021. The provider is doing business as Senior Renewal: Murphysboro.

Where is Ten Broeck Tennessee Physicians Group Inc located?

Ten Broeck Tennessee Physicians Group Inc is located at 2 S Hospital Dr, Murphysboro, IL 62966. The listed phone number is (618) 684-3156.

What is Ten Broeck Tennessee Physicians Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Ten Broeck Tennessee Physicians Group Inc was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.