| NPI | 1447870274 |
|---|---|
| Doing Business As | ADULT INTERNAL MEDICINE OFFICE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CLARA AMPADU CEO 618-580-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-07-08 |