MEDICARE: HAZER ADIGUZEL DACM

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	171100000X	Acupuncturist	AC17678	CA
2	171100000X	Acupuncturist	198001484	IL

General Provider Information

NPI Number	:	1881109056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZER ADIGUZEL DACM

Provider Business Mailing Address
First Line	:	440 N MCCLURG CT APT 1202
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4361
Country	:	US
Telephone Number	:	872-772-0333
Fax Number	:

Provider Business Practice Location Address
First Line	:	3228 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1106
Country	:	US
Telephone Number	:	773-828-3001
Fax Number	:

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

Provider Enumeration Date	:	12/09/2017
Last Update Date	:	06/15/2022

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Directions to “ HAZER ADIGUZEL DACM” Practice Location

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