Kehinde A. Hattisburg

NPI 1740502475 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1740502475
Gender Female
Enumeration Date 02/22/2010
Last Updated 11/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
913 E 54TH ST
#206
CHICAGO IL, 60615-5019, US
Phone (773) 493-4000
Fax
Business Location
913 E 54TH ST
#206
CHICAGO IL, 60615-5019, US
Phone (773) 493-4000
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146.010211
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According to our database, Kehinde A. Hattisburg NPI is 1740502475, taxonomy code is 235Z00000X and license number is 146.010211, license state is located at Illinois. Kehinde A. Hattisburg physically located at 913 E 54th St, Chicago IL, 60615-5019. NPI Number Kehinde A. Hattisburg has the Individual type.

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1740502475 NPI number is provided on an as is basis without warranty of any kind. 1740502475 is maintained by the National Plan & Provider Enumeration System. The contents of Kehinde A. Hattisburg are for informational purposes only.