| NPI | 1932449691 |
|---|---|
| Doing Business As | MENS HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BANNO Owner 309-621-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036053979) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |