| NPI | 1659589703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA S KASTEN Physician Services 618-463-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M2300X Radiologic Technologist Mammography (Licence: IL 100867) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |