| NPI | 1104909407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NICHOLE CURTIS Administrative Nurse Practitioner 618-392-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-189529) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-03-13 |