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General NPI Number Information
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NPI Number | 1902742844
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Entity Type | Individual
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Provider Name | ALICIA HARGRETT RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 16150 CICERO AVE STE 12
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City | OAK FOREST
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State | IL
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Zip | 60452-4136
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Country | US
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Telephone | 773-619-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 25337 FEDERAL CIR
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City | PLAINFIELD
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State | IL
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Zip | 60544-2487
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Country | US
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Telephone | 773-619-5464
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Fax |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 041493107
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 041493107
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041493107
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License Number State | IL
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