| NPI | 1700819562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMER BADAHMAN Physician 618-222-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036102100) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-05-22 |