| NPI | 1346349974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J HABERKAMP Sole Proprietor 312-942-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036072778) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-11-01 |