| NPI | 1124299615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L LINTZENICH Office Manager 618-632-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-10-17 |