| NPI | 1093775405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHOOR A MAKHDOOM Md Owner 618-549-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036094155) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-08-12 |