| NPI | 1649642547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CANGAS CEO 618-281-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036110913) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |