Individual
CANDELARIA LUZ HARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-1164
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.292933
IL
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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