NPI | 1679639918 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN N NORMAN Chief Executive Officer 618-457-5200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7001019) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2008-05-09 |