| NPI | 1861786493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A BRIGGS Owner 618-259-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038.009545) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2014-01-22 |