Individual
CAROLYN HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 INDEPENDENCE AVE, ELBURN, IL 60119-7833
(630) 365-1163
(630) 365-1163
Mailing address
1802 CUMBERLAND GREEN DR, ST CHARLES, IL 60174-4677
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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