| NPI | 1588666804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CRUZ Head Of The Group 618-288-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036070138) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |