Individual
DEANNA HATCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 WILLOW ST, FRANKFORT, IL 60423-1140
(815) 806-4600
(815) 806-4601
Mailing address
2651 W WASHINGTON BLVD, CHICAGO, IL 60612-2055
(773) 553-1000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.114826
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063541688
—
IL
Enumeration date
07/23/2021
Last updated
08/27/2022
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