| NPI | 1902999683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L PRITCHETT President 618-632-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036072222) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-03-09 |