Individual
JACQUES HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 157TH ST, CALUMET CITY, IL 60409-4704
(708) 862-6620
Mailing address
10235 BIRCHBROOK DR, DYER, IN 46311-7010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008998
IL
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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