| NPI | 1467792960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B. DAVIS Executive Director 618-257-4644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036121947) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-28 |