| NPI | 1285010272 |
|---|---|
| Doing Business As | INNOVATIVE CARE EXPRESS SERIES 1 |
| Entity Type | Organization |
| Authorized Contact | STEVEN N SCOTT Operations Director 618-842-2491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2016-03-30 |