Individual
DENESE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 W WASHINGTON BLVD, CHICAGO, IL 60624-2341
(773) 220-5758
Mailing address
3850 W WASHINGTON BLVD, CHICAGO, IL 60624-2341
(773) 220-5758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.300664
IL
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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