| Wupi - Department Of Ob/gyn | |
|
1414 Cross St Shiloh IL 62269-2988 | |
| (314) 454-8181 | |
| Not Available |
| Full Name | Wupi - Department Of Ob/gyn |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1414 Cross St, Shiloh, Illinois |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wupi - Department Of Ob/gyn 1414 Cross St Shiloh IL 62269-2988 Ph: (314) 454-8181 | Wupi - Department Of Ob/gyn 1414 Cross St Shiloh IL 62269-2988 Ph: (314) 454-8181 |
| NPI Number | 1700374105 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700374105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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