Individual
NOLITA P HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3699
(708) 352-3580
(708) 352-2715
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3699
(708) 352-3580
(708) 352-2715
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043105700
IL
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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