ILLINOIS RURAL HEALTHCARE

WILDWOOD, MO
NPI1093493041
Entity TypeOrganization
Authorized ContactSARFARAZ JASDANWALA
CEO
031-295-3563
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
ILLINOIS RURAL HEALTHCARE
17781 HORNBEAN DR
WILDWOOD, MO 63005-4229
Phone number: 312-953-5636
Mailing Address
ILLINOIS RURAL HEALTHCARE
1003 HAUCK DR
ROLLA, MO 65401-2584
Phone number: 573-466-2056