Individual
ALYSSA JEANNE VEST HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Mailing address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036123047
IL
Other
Enumeration date
07/10/2007
Last updated
03/19/2021
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