| NPI | 1801172903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A BRAASCH President 618-463-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 2009455) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2021-03-22 |