| NPI | 1548097264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Sr. Director, Wu Managed Care 618-791-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |