Most Relevant Information
Provider Data
NPI Number: | 1003450354 |
Provider Name: | CHELSEA HARTZELL |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 10/30/2019 |
Last Updated: | 11/02/2021 |
Provider Practice Location
202 SHERWOOD LN
LENA
IL
610489624
Practice Location Phone/Fax
Phone: | 8155414654 |
Fax: |
Provider Mailing Location
202 SHERWOOD LN
LENA
IL
610489624
Provider Mailing Phone/Fax
Phone: | 8155414654 |
Fax: |