| NPI | 1033241641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED HASEEB President 618-244-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 042618010) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-05-07 |