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NPI Code Detail

MEDICARE: ANNA HASTINGS MS

MEDICARE: ANNA HASTINGS MS
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
1235Z00000XSpeech-Language Pathologist242.005762IL

General Provider Information

NPI Number : 1497377816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA HASTINGS MS
Provider Business Mailing Address
First Line : 1656 W ERIE ST APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60622-6070
Country : US
Telephone Number : 920-609-7868
Fax Number :
Provider Business Practice Location Address
First Line : 8001 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60620-5930
Country : US
Telephone Number : 773-436-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2020
Last Update Date : 08/21/2020

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Directions to “ ANNA HASTINGS MS” Practice Location

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