| NPI | 1871744235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. WILSON CFO 618-346-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 042-006796) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |