Individual
ALYSHA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1875 DEMPSTER ST, SUITE 8477206464550, PARK RIDGE, IL 60068-1186
(847) 720-6464
(847) 720-6463
Mailing address
1212 SANTA FE RD, APT 308, ROMEOVILLE, IL 60446-4211
(773) 575-7587
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011353
IL
Other
Enumeration date
04/28/2014
Last updated
07/25/2016
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