Most Relevant Information
Provider Data
NPI Number: | 1003635624 |
Provider Name: | AVANII INARII HAZZARD |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: |
Most Important Dates
Enumeration Date: | 10/09/2024 |
Last Updated: | 10/09/2024 |
Provider Practice Location
661 W LAKE ST STE 2S
CHICAGO
IL
606611034
Practice Location Phone/Fax
Phone: | 7087404422 |
Fax: |
Provider Mailing Location
3833 W 84TH PL
CHICAGO
IL
606523219
Provider Mailing Phone/Fax
Phone: | |
Fax: |