| NPI | 1902063266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ANDRIENNE C JONES Owner 618-465-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 336-085886) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-08-28 |