| NPI | 1285806422 |
|---|---|
| Doing Business As | PROFESSIONAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | STACY GARDNER Family Nurse Practitioner/ Owner 618-932-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: IL 209007026) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2009-08-17 |