Individual
HAZEL ACACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
(847) 526-2017
Mailing address
PO BOX 6037, WAUCONDA, IL 60084-6037
(847) 526-2151
(847) 526-2017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022469
IL
363L00000X
Nurse Practitioner
9803-33
WI
Other
Enumeration date
11/08/2019
Last updated
04/11/2023
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