| NPI | 1437323201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENG N WANG President 618-259-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 060.002020) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2011-04-21 |