| NPI | 1497314462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED S MEGAHY Medical Director 618-882-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |