<Unavail>
LBN: Promed Preferred Il 2 Pllc
<Unavail> is an health care organization with primary practice located at 141 Market Pl Ste 100 , Fairview Heights IL 62208-2089. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Promed Preferred Il 2 Pllc can be contacted via phone (615) 499-3165, or through Jokerst, Thomas via phone (615) 499-3165.
Contact Information
Primary practice address
141 Market Pl Ste 100
Fairview Heights IL 62208-2089
Phone: (615) 499-3165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1023855566 |
|---|---|
| LBN Legal business name | Promed Preferred Il 2 Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Jokerst, Thomas Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2024 |
| Last updated | Jun 9th, 2026 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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