| NPI | 1457766545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LAWLER President 618-967-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036135003) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |