| NPI | 1336292416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK S ZIMMERMANN President 618-344-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036059275) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |