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Organization
METRO EAST SENIOR CARE LLC
Active
Organization
METRO EAST SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS GARY MD (PRESIDENT)
(618) 406-7165
Entity
Organization
Contact information
Practice address
5 MEADOWLARK CT, COLLINSVILLE, IL 62234-6818
(618) 406-7165
(618) 939-9836
Mailing address
PO BOX 651, COLUMBIA, IL 62236-0651
(314) 852-8542
(618) 939-9836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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