| Organization Name: | ASSOCIATED PHYSICIANS GROUP |
| NPI Number: | 1013398718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN S VICK (OWNER) |
| Mailing Address: | 4414 W Center Dr Alton |
| State: | IL US |
| Postal Code: | 620025932 |
| Phone Number: | 6185094870 |
| Fax Number: | 6185094871 |
| NPI Enumeration Date: | 06/18/2015 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364S00000X |
| License Number: | A5100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |