| NPI | 1568949758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOSEPH HANSEN Owner 630-880-9517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2019-11-23 |