Search › Illinois › 101YM0800X
Matt Hahn
NPI 1447014493 · on the registry since 2024
Practice
- Address
- 6115 N 2nd St
Loves Park, IL 61111 - Phone
- (815) 490-1600
- Organisation at this address
- Laboratory Corporation Of America
Crusaders Central Clinic AssociationInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois