Individual
MARY HAWKINS-SLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHHNP
Contact information
Practice address
300 W 106TH PL, CHICAGO, IL 60628-2538
(312) 887-2226
Mailing address
300 W 106TH PL, CHICAGO, IL 60628-2538
(312) 887-2226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209030586
IL
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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