Nahd Sc
NPI #1881695468 in Loves Park, Illinois
Provider Information
- NPI Number
- 1881695468
- Entity Type
- Organization
- Organization Name
- Nahd Sc
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Nov 2, 2007
Practice Location
- Address
- 7402 E RIVERSIDE BLVD
- City
- Loves Park
- State
- Illinois
- ZIP Code
- 61111-5630
- Phone
- (815) 226-9642
Authorized Official
- Name
- DR. NICOLE ANN HARTSOUGH, MD
- Title
- OWNER
- Phone
- (815) 226-9642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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