| NPI | 1265419261 |
|---|---|
| Doing Business As | PRIMARY CARE GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BOATRIGHT Administrator 618-252-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036042756) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-09-22 |