| NPI | 1780807594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY C VACCA President Physician 618-242-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036105971) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-06-10 |