Individual
CHELSEA HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 SHERWOOD LN, LENA, IL 61048-9624
(815) 541-4654
Mailing address
202 SHERWOOD LN, LENA, IL 61048-9624
(815) 541-4654
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
209023887
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2019
Last updated
11/02/2021
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