Individual
AMY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 LAKE ST STE 800, OAK PARK, IL 60301-1417
(773) 312-3612
Mailing address
715 LAKE ST STE 800, OAK PARK, IL 60301-1417
(773) 312-3612
(708) 294-3699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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