Individual
KELSEY MARIE HIZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-4011
(312) 815-9660
Mailing address
1713 W CULLERTON ST APT 2, CHICAGO, IL 60608-6195
(541) 948-5014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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