Individual
MR. JOHN PAUL HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
850 BROOK FOREST AVE, UNIT F, SHOREWOOD, IL 60404-8513
(815) 725-4918
(815) 725-4955
Mailing address
850 BROOK FOREST AVE, UNIT F, SHOREWOOD, IL 60404-8513
(815) 725-4918
(815) 725-4955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002233
IL
Other
Enumeration date
09/14/2006
Last updated
05/18/2009
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