Individual
DR. DOUGLAS JOHN HARDEKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
Mailing address
394 E TALL OAKS LN, ITASCA, IL 60143-2818
(630) 802-9351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041417818
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209029649
IL
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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