| NPI | 1275562316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LYNN COON Office Manager 618-628-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036097388) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: IL 036097388) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |