Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midwest Phyisician Associates Ltd

Organization General Practice Physician · NPI 1205291846

Midwest Phyisician Associates Ltd provides General Practice Physician services in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502 Not confirmed with CMS for 10 years — call before visiting
Phone: (618) 692-6700
Fax: (618) 692-6711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036-072290 (IL)

Record details

NPI number1205291846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Thayer — President · (618) 692-6700
NPI enumeratedDecember 28, 2015
Last updated in NPPESAugust 25, 2016
Mailing addressPo Box 997, Edwardsville, IL 62025-0997