Physical Medicine Clinic Of Granite City Ltd
Non-pharmacy Dispensing Site
2861 Madison Ave, Granite City
Illinois, 62040-3614
618-877-4000 Physical Medicine Clinic Of Granite City Ltd is a Non-pharmacy Dispensing Site in Granite City, Illinois. This organization is also known as sub part of Physical Medicine Clinic Of Granite City Ltd. It is located at 2861 Madison Ave, Granite City and it's customer support contact number is 618-877-4000. The authorized person of Physical Medicine Clinic Of Granite City Ltd is Dr. Bud Chombirun, M.D. who is Medical Director of the pharmacy and his contact number is 618-877-4000.
Physical Medicine Clinic Of Granite City Ltd is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Physical Medicine Clinic Of Granite City Ltd type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Physical Medicine Clinic Of Granite City Ltd |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 2861 Madison Ave, Granite City,
Illinois, 62040-3614 |
| Phone: | 618-877-4000 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Bud Chombirun |
| Credentials: | M.D. |
| Position: | Medical Director |
| Contact Number: | 618-877-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1083986541 |
| Parent Organization: | Physical Medicine Clinic Of Granite City Ltd |
| NPI Enumeration Date: | 31 Jan, 2012 |
| NPI Last Update On: | 31 Jan, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Physical Medicine Clinic Of Granite City Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2980 N Beverly Glen Cir, Suite 301
Los Angeles, California |
| Zip: | 90077-1726 |
| Phone Number: | 310-474-9809 |
Patients can reach Physical Medicine Clinic Of Granite City Ltd at
2861 Madison Ave, Granite City, Illinois or can
call on customer care at 618-877-4000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.