MEDICARE: MRS. HALI BETH HYMEN MA SP.ED

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1578979407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HALI BETH HYMEN MA SP.ED

Provider Business Mailing Address
First Line	:	2020 N HOWE ST APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4414
Country	:	US
Telephone Number	:	858-229-2499
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 N HOWE ST APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614
Country	:	US
Telephone Number	:	858-229-2499
Fax Number	:

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

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	06/26/2018

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