NPI | 1114083169 |
---|---|
Other Name | SIMCA |
Entity Type | Organization |
Authorized Contact | SEAN MCCAIN Physician 618-998-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036105546) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-08-22 |