| NPI | 1376630103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZHAR H LAKHO Owner Physician 618-235-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036079702) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-03-07 |