| NPI | 1497857593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R. HORACE President 618-233-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: IL 364970) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-08-17 |