Integrated Medical Group Ltd
NPI 1487750691ActiveOrganization· Chiropractor· Edwardsville, IL
Chiropractor in Edwardsville, Illinois, registered in NPPES in September 2006. The authorized official on file is David Thayer, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487750691 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Jul 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 038010423 | IL |
| Chiropractor | 111N00000X | 038009512 | IL |
| Chiropractor | 111N00000X | 038010464 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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All 35 chiropractors in Edwardsville · All chiropractors in Illinois