| NPI | 1073794517 |
|---|---|
| Doing Business As | ST JAMES DIABETES |
| Entity Type | Organization |
| Authorized Contact | DEANNA MARIE BASS Biller 708-755-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 1813312) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-09-15 |