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NATIONWIDE MEDICAL NETWORK LLC
NPI 1548924152
General Practice in O Fallon, IL

Active since October 29, 2021
4020 GREEN MOUNT CROSSING DR, O FALLON, IL 62269(618) 477-9640 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nationwide Medical Network Llc NPPES

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

NATIONWIDE MEDICAL NETWORK LLC (NPI 1548924152) is a healthcare organization registered as a general practice in O Fallon, Illinois and active in the NPI registry since October 2021. The organization lists Racheal Hannah, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1548924152
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNATIONWIDE MEDICAL NETWORK LLC
Location Address4020 GREEN MOUNT CROSSING DRO Fallon, IL 62269-7287
Mailing Address4020 Green Mount Crossing Dr Ste 143Shiloh, IL 62269-7287
Phone(618) 477-9640
Organization SubpartNo
Authorized OfficialRacheal HannahManaging Director · (618) 477-9640
Enumeration DateOctober 29, 2021
NPPES CertifiedSeptember 27, 2021
✔ NPI 1548924152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4020 GREEN MOUNT CROSSING DR, O Fallon, IL 62269
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MS. DANA MICHELLE HEIMANN
Behavior Analyst
4020 GREEN MOUNT CROSSING DR, SUITE 246
SHILOH, IL 62269
St. Clair County (618) 977-6762
STEPHANIE NORGARD
Behavior Technician
4020 GREEN MOUNT CROSSING DR
SHILOH, IL 62269
St. Clair County (877) 315-8080
CHRISTOPHER JOHN KECK
Behavior Technician
4020 GREEN MOUNT CROSSING DR
SHILOH, IL 62269
St. Clair County (618) 977-6866

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 Nationwide Medical Network LLC's NPI number?

The NPI number for Nationwide Medical Network LLC is 1548924152. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Nationwide Medical Network LLC located?

Nationwide Medical Network LLC is located at 4020 Green Mount Crossing Dr, O Fallon, IL 62269. The listed phone number is (618) 477-9640.

What is Nationwide Medical Network LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Nationwide Medical Network LLC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.