Tamara L Hauserman-aggacid

NPI 1215371232 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1215371232
Gender Female
Enumeration Date 04/21/2013
Last Updated 04/21/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
11200 LINCOLN HWY
MOKENA IL, 60448-8208, US
Phone (866) 389-2727
Fax
Business Location
6611 W BELMONT AVE
UNIT #3
CHICAGO IL, 60634-4280, US
Phone (773) 793-9992
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209.010337
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According to our database, Mrs. Tamara L Hauserman-aggacid NPI is 1215371232, taxonomy code is 363LF0000X and license number is 209.010337, license state is located at Illinois. Tamara L Hauserman-aggacid physically located at 11200 Lincoln Hwy, Mokena IL, 60448-8208. NPI Number Tamara L Hauserman-aggacid has the Individual type.

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1215371232 NPI number is provided on an as is basis without warranty of any kind. 1215371232 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara L Hauserman-aggacid are for informational purposes only.