Individual
RAEGENE HANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12850 S ASHLAND AVE, CALUMET PARK, IL 60827-6308
(708) 972-7958
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-026099
IL
Other
Enumeration date
10/19/2022
Last updated
10/02/2023
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