Individual
CHARISSE HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9680 GOLF RD, DES PLAINES, IL 60016-1522
(773) 482-5800
Mailing address
9680 GOLF RD, DES PLAINES, IL 60016-1522
(773) 482-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007582
IL
Other
Enumeration date
01/23/2020
Last updated
12/10/2020
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