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Individual

DR. AVERY SCOTT HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1285 HARTREY AVE, ERIE EVANSTON/SKOKIE HEALTH CENTER, EVANSTON, IL 60202-1056
(847) 666-3494
(847) 868-8964
Mailing address
1285 HARTREY AVE, ERIE EVANSTON/SKOKIE HEALTH CENTER, EVANSTON, IL 60202-1056
(847) 666-3494
(847) 868-8964

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078737
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363088628
IL
Enumeration date
06/22/2006
Last updated
09/22/2014
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