Individual
MARIAM GETACHEW HAWAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7211
(312) 413-9651
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7211
(312) 413-9651
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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