| NPI | 1194771238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD B. VANDEN HOEK Owner 618-327-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 163WG0000X Registered Nurse, General Practice | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |