Hazell, Clive Garrad

Hazell, Clive Garrad is an sole proprietor health care provider with primary practice located at 3324 N Kostner Ave , Chicago IL 60641-4513. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Hazell, Clive Garrad can be contacted via phone (773) 726-1952.

Contact Information

Primary practice address
3324 N Kostner Ave Chicago IL 60641-4513
Phone: (773) 726-1952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 180003932 Illinois

Profile Details

NPI number 1447514153
LBN Legal business name Hazell, Clive Garrad
Credentials PHD, DN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 14 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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