| NPI | 1720529001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANN WINTERS Sole Proprietor 618-943-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036091318) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |