St Anthonys Physician Organization of Illinois

NPI #1407218365 in Sparta, Illinois

Provider Information

NPI Number: 1407218365
Entity Type: Organization
Organization Name: St Anthonys Physician Organization of Illinois
Primary Specialty: Neurological Surgery
Enumeration Date: Mar 22, 2016
Last Updated: Mar 22, 2016

Practice Location

Address: 211 S BURNS AVE
City: Sparta
State: Illinois
ZIP Code: 62286-1895
Phone: (314) 543-5999

Authorized Official

Name: DAVID MORTON, MD
Title: CMO
Phone: (314) 525-1053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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