Provider First Line Business Practice Location Address:
3000 PROFESSIONAL DR STE D
Provider Second Line Business Practice Location Address:
BAHN CONSULTING, INC.
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62703-5931
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-679-5379
Provider Business Practice Location Address Fax Number:
217-679-5349
Provider Enumeration Date:
01/07/2013