Graduated: 2015
NPI: 1679920052
Practice Locations (3)
FAIRVIEW HEIGHTS MEDICAL GROUP SC
1 MEMORIAL DR
ALTON, IL 620026722
6184637240
FAIRVIEW HEIGHTS MEDICAL GROUP SC
163 E BETHALTO DR
BETHALTO, IL 620101801
6184336640
FAIRVIEW HEIGHTS MEDICAL GROUP SC
5213 GODFREY RD, SUITE 110
GODFREY, IL 620352510
6186193330
Source: CMS National Downloadable File, September 2026.