Doctor Name: | MRS. DEBRA LYNN HAWKINS |
NPI Number: | 1114115201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 209006507 |
Business Practice Address: | 200 Wilmot Rd # 216 Deerfield, IL - 600154620 |
Business Phone Number: | 2177092204 |
Business Fax Number: | 2177092345 |
Mailing Address: | 11 E 75th St, CHICAGO |
State: | IL |
Postal Code: | 606191601 |
Phone Number: | 7734965048 |
Fax Number: | 7732242509 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209006507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |