NPI | 1982197158 |
---|---|
Doing Business As | HOL HEALTH STUDIO |
Entity Type | Organization |
Authorized Contact | PENG PHETCHAMPHONE Provider 312-344-1632 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 038010281) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2019-02-08 |