Individual
TANZANIA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-7100
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041454025
IL
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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