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NPI 1255403507

NPI 1255403507 : VICTORIA HYZNY HART D.C. : HOMER GLEN, IL

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General NPI Number Information
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    NPI Number           |    1255403507
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA HYZNY HART D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    12261 W 159TH ST 
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    City                 |    HOMER GLEN
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    State                |    IL
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    Zip                  |    60491-7847
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    Country              |    US
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    Telephone            |    708-301-2255
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    Fax                  |    708-301-2631
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Provider Business Mailing Address
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    Address Line         |    12261 W 159TH ST 
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    City                 |    HOMER GLEN
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    State                |    IL
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    Zip                  |    60491-7847
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    Country              |    US
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    Telephone            |    708-301-2255
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    Fax                  |    708-301-2631
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    038007845
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    License Number State |    IL
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