Individual
CHLOE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
Mailing address
712 N STATE ST, CHICAGO, IL 60654-3820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012069
IL
Other
Enumeration date
10/25/2014
Last updated
10/30/2020
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