Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Physical Medicine Clinic of Granite City Ltd

Non-Pharmacy Dispensing Site in Granite City, IL · enumerated 2012 · authorized official Bud Chombirun, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083986541

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Physical Medicine Clinic of Granite City Ltd

Parent organization Physical Medicine Clinic of Granite City Ltd

Practice address 2861 Madison Ave, Granite City, IL, 62040

Phone (618) 877-4000

Enumeration date Jan 31, 2012

Last updated in NPPES Jan 31, 2012

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers Primary

Authorized official

Name Bud Chombirun

Title Medical Director

Phone (618) 877-4000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Physical Medicine Clinic of Granite City Ltd?

Physical Medicine Clinic of Granite City Ltd is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-31.