| NPI | 1740320407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAJU P MATHEW Respiratory Therapist 708-202-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL 194003141) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |