| NPI | 1003950395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MARIE GUYTON M.D. 618-993-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036094659) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |