| NPI | 1891881058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNGSOOK PARK Staff Neurologist 708-202-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable) (Licence: IL 036092079) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |