CHRISTOPHER LEE HACK

NEW LENOX, IL
NPI1811965361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  c2377)
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
-- CHRISTOPHER LEE HACK ATC
1801 E LINCOLN HWY
NEW LENOX, IL 60451-3801
Phone number: 815-462-2319
Mailing Address
-- CHRISTOPHER LEE HACK ATC
17530 GILBERT DR
LOCKPORT, IL 60441-1114
Phone number: 815-588-3515
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