Individual
DESMOND JACQUES HARDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4321 FIR ST FL 4, EAST CHICAGO, IN 46312-3049
(219) 392-7744
Mailing address
9631 S CICERO AVE UNIT 1615, OAK LAWN, IL 60453-3137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28295611A
IN
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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