NPI 1073705737

St .Clair Pedaitrics, LLC

Organisation Pediatrics Physician Swansea, IL

Practice location

Address: 4941 Benchmark Centre Dr Suite 100, Swansea, IL 62226-2038
Phone: (618) 624-9970
Fax: (618) 624-9973

Authorised official

Name: Gregory T Garrison
Title: Owner
Phone: (618) 624-9970

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Illinois →

Registry record

NPI: 1073705737
Entity type: Organization
NPI issued: 15 Aug 2007
Record last updated: 15 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.