| 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 |