| NPI | 1669554507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HAMB Medical Director 312-572-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-001953) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-06-18 |