Individual provider · Type 1 NPI

Charis Marie Habercoss, APN

Nurse Practitioner · Maywood, IL

NPI number 1821396250 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 216-2653 Map

Fax (708) 216-6829

Mailing address

2160 S 1st Ave Bldg 110
Maywood, IL 60153-3328

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.008136 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821396250

Charis Marie Habercoss, APN's National Provider Identifier is 1821396250, issued on Mar 9, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maywood, IL. The record was last updated on Mar 9, 2011.