Graduated: 2012
NPI: 1023371333
Practice Locations (8)
IMPACT PHYSICIAN GROUP ILLINOIS LLC
3402 ANDERSON HEALTHCARE DR
EDWARDSVILLE, IL 620257712
6183077900
IMPACT PHYSICIAN GROUP MISSOURI LLC
998 WOODS MILL RD, THE REHAB INSTITUTE OF ST. LOUIS WE
BALLWIN, MO 630115101
6365941100
IMPACT PHYSICIAN GROUP MISSOURI LLC
12380 DEPAUL DR
BRIDGETON, MO 630442511
3144479700
IMPACT PHYSICIAN GROUP MISSOURI LLC
4455 DUNCAN AVE
SAINT LOUIS, MO 631101111
31465838004154
IMPACT PHYSICIAN GROUP MISSOURI LLC
3015 N BALLAS RD
SAINT LOUIS, MO 631312329
3149966500
IMPACT PHYSICIAN GROUP MISSOURI LLC
10018 KENNERLY RD
SAINT LOUIS, MO 631282106
3145251000
IMPACT PHYSICIAN GROUP MISSOURI LLC
10114 KENNERLY RD
SAINT LOUIS, MO 631282183
3149482000
IMPACT PHYSICIAN GROUP MISSOURI LLC
10 HOSPITAL DR, FL 3
SAINT PETERS, MO 633761659
3146583800
Source: CMS National Downloadable File, September 2026.