Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 125063495 | IL |
NPI | 1003256686 |
---|---|
Provider Name | Michael Anthony Hoks JR. |
First Address | Chicago, IL 60631-3707 |
Second Address | Chicago, IL 60631-3707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 30/11/2018 |