Dr. Mary Mioux-Berry, LLC
Physical Medicine & Rehabilitation in Glen Carbon, IL. Organization (NPI-2).
NPI number1669520060
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1669520060
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Mary Mioux-Berry, LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
3407 S State Route 157Suite 3
Glen Carbon, IL 62034-1042
Phone 618-288-3610
Mailing address
3407 S State Route 157Suite 3
Glen Carbon, IL 62034-1042
Phone 618-288-3610
Authorized official
Mary A Mioux-Berry
Owner
6182883610
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Medicine & Rehabilitation Physician providers in Glen Carbon, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.