| NPI | 1215793716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHREEN IQBAL Physician 618-660-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |