Individual
LISA M HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(847) 921-9733
Mailing address
2024 N DAYTON ST, APT. 1, CHICAGO, IL 60614-4310
(630) 605-5978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.361023
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010079
IL
Other
Enumeration date
09/17/2012
Last updated
10/27/2014
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