Individual provider · Type 1 NPI

Desmond Jacques Hardaway, RN

Registered Nurse · East Chicago, IN

NPI number 1184597247 Active

Practice location

4321 Fir St Fl 4
East Chicago, IN 46312-3049

Mailing address

9631 S Cicero Ave Unit 1615
Oak Lawn, IL 60453-3137

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X28295611A (IN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1184597247

Desmond Jacques Hardaway, RN's National Provider Identifier is 1184597247, issued on Sep 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in East Chicago, IN. The record was last updated on Sep 25, 2025.