| NPI | 1740544436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL CASH Partner 618-751-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209000459) |
| 207Q00000X Family Medicine (Licence: IL 036067057) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-07-02 |