| NPI | 1629414644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN A SHAH Owner 618-939-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: IL 036101869) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |