| NPI | 1578873345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANDREW HAMANN President 708-474-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 046-007955) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2012-03-15 |