Individual
DR. COURTNEY ALAN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2017010204
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
036107870
IL
207LP3000X
Pediatric Anesthesiology Physician
2017010204
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477562163
—
MO
Enumeration date
08/05/2006
Last updated
08/12/2021
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