| NPI | 1699014407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B. DAVIS Executive Director 618-257-4644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036058818) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-21 |