Boncodin, Hazel
Boncodin, Hazel is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Boncodin, Hazel can be contacted via phone (708) 684-4571.Contact Information
Primary practice address
4440 W 95Th St
Oak Lawn IL 60453-2600
Phone: (708) 684-4571
Fax: (708) 684-3173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 364SC0200X | 209007134 | Illinois |
Profile Details
| NPI number | 1225263148 |
|---|---|
| LBN Legal business name | Boncodin, Hazel |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2009 |
| Last updated | May 20th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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