| NPI | 1124173273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATHA A RAO President 618-529-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IL 036111928) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-02-22 |