| NPI | 1386023000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANULLAH K PATHAN President 618-239-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036060909) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |