SearchIllinois101YM0800X

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 Association
Inferred 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