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INTEGRATIVE PERFORMANCE MEDICAL GROUP, PLLC
NPI 1699232637
Specialist in Edwardsville, IL

Active since February 26, 2019
200 S BUCHANAN ST, EDWARDSVILLE, IL 62025(618) 659-8889(618) 283-1101 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrative Performance Medical Group, Pllc NPPES

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

INTEGRATIVE PERFORMANCE MEDICAL GROUP, PLLC (NPI 1699232637) is a healthcare organization registered as a specialist in Edwardsville, Illinois and active in the NPI registry since February 2019. The organization lists Jessica Buatte, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699232637
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTEGRATIVE PERFORMANCE MEDICAL GROUP, PLLC
Location Address200 S BUCHANAN STEdwardsville, IL 62025-2109
Mailing Address200 S Buchanan StEdwardsville, IL 62025-2109 · (618) 659-8889 · Fax (618) 283-1101
Phone(618) 659-8889
Fax(618) 283-1101
Organization SubpartNo
Authorized OfficialJessica BuatteOffice Manager · (618) 659-8889
Enumeration DateFebruary 26, 2019
✔ NPI 1699232637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedChiropractorTaxonomy 111N00000X
200 S BUCHANAN ST, Edwardsville, IL 62025
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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

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 Integrative Performance Medical Group, PLLC's NPI number?

The NPI number for Integrative Performance Medical Group, PLLC is 1699232637. It was assigned to this organization in the NPPES registry on February 26, 2019.

Where is Integrative Performance Medical Group, PLLC located?

Integrative Performance Medical Group, PLLC is located at 200 S Buchanan St, Edwardsville, IL 62025. The listed phone number is (618) 659-8889.

What is Integrative Performance Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Integrative Performance Medical Group, PLLC was last updated on February 26, 2019. 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.