Individual
CHRISTIAN MARK HOMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7411 LAKE ST, SUITE 2100, RIVER FOREST, IL 60305-1876
(708) 488-1010
Mailing address
3208 N SEMINARY AVE, APARTMENT 1R, CHICAGO, IL 60657-6640
(978) 870-3831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004121
IL
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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