Individual
PATRICIA ANN HAGENBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 ELMORE ST., PARK RIDGE, IL 60068-3568
(847) 696-9395
Mailing address
202 ELMORE ST., PARK RIDGE, IL 60068-3568
(847) 696-9395
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
IL
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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