Healthcare Provider Details

I. General information

NPI: 1841976891
Provider Name (Legal Business Name): HLS ENDOCRINOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E IL ROUTE 83 STE 100
MUNDELEIN IL
60060-4278
US

IV. Provider business mailing address

333 EAST ROUTE 83 SUITE 100
MUNDELEIN IL
60060
US

V. Phone/Fax

Practice location:
  • Phone: 224-585-9559
  • Fax: 978-506-2201
Mailing address:
  • Phone: 224-585-9559
  • Fax: 978-506-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: OLGA DUCHON
Title or Position: DOCTOR
Credential: MD
Phone: 773-814-9248