Individual
SAMUEL HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E 103RD PL FRNT, CHICAGO, IL 60628-2715
(708) 926-5620
Mailing address
115 E 103RD PL, CHICAGO, IL 60628-2715
(708) 926-5620
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
TGC112639
IL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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