Illinois Rural Healthcare

NPI #1093493041 in Wildwood, Missouri

Provider Information

NPI Number
1093493041
Entity Type
Organization
Organization Name
Illinois Rural Healthcare
Primary Specialty
Internal Medicine
Enumeration Date
Jul 10, 2023
Last Updated
Jul 10, 2023

Practice Location

Address
17781 HORNBEAN DR
ZIP Code
63005-4229
Phone
(312) 953-5636

Authorized Official

Name
SARFARAZ JASDANWALA, MD
Title
CEO
Phone
(031) 295-3563

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Addiction MedicineAddiction Medicine
Internal Medicine

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Organizations

Provider Name
Wildwood Internal Medicine, PC

Part of Wildwood Internal Medicine, PC

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