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NPI Code Detail

MEDICARE: HALEY HUNTER

MEDICARE: HALEY HUNTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner28725SC
2390200000XStudent in an Organized Health Care Education/Training ProgramSC

General Provider Information

NPI Number : 1699526798
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY HUNTER
Provider Business Mailing Address
First Line : 2718 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5910
Country : US
Telephone Number : 773-961-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2718 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5910
Country : US
Telephone Number : 773-961-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 10/31/2024

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Directions to “ HALEY HUNTER ” Practice Location

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