HAZEL BONCODIN M.S.N. NPI 1225263148

NPI Information

NPI: 1225263148
Provider Name: HAZEL BONCODIN, M.S.N.
Classification: Clinical Nurse Specialist - 364SC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
4440 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-4571
Get Directions

Hazel Boncodin, M.S.N. is a critical care medicine clinical nurse specialist in Oak Lawn, IL. Hazel Boncodin, M.S.N. NPI is 1225263148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4440 W 95TH ST
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 684-4571
Fax: (708) 684-3173

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	209007134	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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