NPI | 1518266345 |
---|---|
Doing Business As | ST JAMES PRIMARY CARE CENTER OF MOKENA |
Entity Type | Organization |
Authorized Contact | THOMAS W SENESAC Regional CFO 708-756-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-03-18 |
Last Update Date | 2011-05-28 |