Generation Clinical Partners LLC
Internal Medicine, Geriatric Medicine in Glen Carbon, IL. Organization (NPI-2).
NPI number1366050007
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1366050007
- Entity type
- Organization (NPI-2)
- Legal business name
- Generation Clinical Partners LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Gcp Illinois, PLLC (Other Name)
Practice location
27 Auerbach PlGlen Carbon, IL 62034-1596
Phone 314-925-0903 · Fax 314-764-2279
Mailing address
Po Box 14713Belfast, ME 04915-4042
Phone 314-925-0903 · Fax 314-764-2279
Authorized official
Mae Lin
Office Manager
3149250903
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