Individual
HAZEL LOUISE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
1646 N OAKLEY AVE, CHICAGO, IL 60647-9643
(502) 819-4078
Mailing address
1646 N OAKLEY AVE, CHICAGO, IL 60647-9643
(502) 819-4078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.486644
IL
363LF0000X
Family Nurse Practitioner
Primary
209.028223
IL
Other
Enumeration date
09/27/2023
Last updated
10/19/2023
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