Organization
OAK LAWN PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY R HOEKSTRA (OWNER)
(708) 423-1440
Entity
Organization
Contact information
Practice address
10250 CENTRAL AVE, OAK LAWN, IL 60453-4602
(708) 423-1440
Mailing address
10250 CENTRAL AVE, OAK LAWN, IL 60453-4602
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
05/16/2013
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