Individual provider · Type 1 NPI
Charocka L. Hartzol Coleman
Family Nurse Practitioner · Chicago, IL
NPI number
1275921389
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209011551 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275921389
Charocka L. Hartzol Coleman's National Provider Identifier is 1275921389, issued on Dec 26, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.