NPI 1225263148

Hazel Boncodin, MSN

Practitioner Critical Care Medicine Clinical Nurse Specialist Oak Lawn, IL

Practice location

Address: 4440 W 95th St, Oak Lawn, IL 60453-2600
Phone: (708) 684-4571
Fax: (708) 684-3173

Registered specialties

Critical Care Medicine Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SC0200X Licence 209007134 (IL)

Other Clinical Nurse Specialist providers in Illinois →

Registry record

NPI: 1225263148
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2009
Record last updated: 20 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.