MEDICARE: ROCHELLE L HAWKINS MD

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
1	207Q00000X	Family Medicine Physician	036068578	IL

General Provider Information

NPI Number	:	1306899372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE L HAWKINS MD

Provider Business Mailing Address
First Line	:	2315 E 93RD ST
Second Line	:	STE.441
City	:	CHICAGO
State	:	IL
Zip	:	60617-3936
Country	:	US
Telephone Number	:	773-374-3200
Fax Number	:	773-374-3819

Provider Business Practice Location Address
First Line	:	2315 E 93RD ST
Second Line	:	STE.441
City	:	CHICAGO
State	:	IL
Zip	:	60617-3936
Country	:	US
Telephone Number	:	773-374-3200
Fax Number	:	773-374-3819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/18/2024

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