Individual
CHARLENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19801 GOVERNORS HWY, FLOSSMOOR, IL 60422-4362
(708) 960-2255
Mailing address
701 N WOLF RD, HILLSIDE, IL 60162-1114
(773) 370-8626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.027282
IL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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