NPI | 1205074093 |
---|---|
Entity Type | Organization |
Authorized Contact | DANETTE GOCIO Office Manager 618-997-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036-113252) |
Enumeration Date | 2009-02-02 |
Last Update Date | 2009-04-15 |