| NPI | 1023034618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V VEST President 618-222-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036095025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036087648) |
| 207R00000X Internal Medicine (Licence: IL 036092347) | |
| 207R00000X Internal Medicine (Licence: IL 036093757) | |
| 207R00000X Internal Medicine (Licence: IL 036108140) | |
| 207R00000X Internal Medicine (Licence: IL 036106952) | |
| 207R00000X Internal Medicine (Licence: IL 036113541) | |
| 207R00000X Internal Medicine (Licence: IL 036087011) | |
| 207R00000X Internal Medicine (Licence: IL 036114966) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036053136) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036091795) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036114207) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036114259) | |
| 207Q00000X Family Medicine (Licence: IL 036096642) | |
| 207Q00000X Family Medicine (Licence: IL 036096627) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-05-02 |