Individual
CAMILLE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
1336 N DEAN ST APT 2, CHICAGO, IL 60622-9101
(469) 348-5007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
01/10/2020
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