| NPI | 1851307532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. SCHIFANO President 618-997-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-07-11 |