| NPI | 1922812254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Sr. Director, Wu Managed Care 618-791-0975 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-05-07 |