| NPI | 1932572872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED SALEM MOHAMED Owner 618-231-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036.136254) |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2020-11-30 |