| NPI | 1871719476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL EMMONS President 618-244-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036101232) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |