Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Hand Surgery
Enumerated
Mar 8, 2006
License(s)
036104840 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4121 VETERANS MEMORIAL DR | Mount Vernon, IL 62864-6262 | 618-242-3778 |
| LOCATION | 4121 VETERANS MEMORIAL DR | Mount Vernon, IL 62864-6262 | 618-242-3778 |
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