SearchIllinois235Z00000X

Kehinde Hattisburg

NPI 1740502475 · on the registry since 2010 · sole proprietor

Practice

Address
913 E 54th St
#206
Chicago, IL 60615
Phone
(773) 493-4000

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois