| NPI | 1043378565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN NORMAN Chief Executive Officer 618-457-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 042-000266) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-05-08 |