Individual
MRS. REBECCA HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 538-4975
Mailing address
1511 N 12TH AVE, MELROSE PARK, IL 60160-2212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209.016749
IL
363L00000X
Nurse Practitioner
209.016749
IL
Other
Enumeration date
12/13/2017
Last updated
08/31/2020
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