| NPI | 1265498463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANMUGAM LAKSHMANAN President 618-548-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL OH2617602) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-11-14 |