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Paul Hewitt

Community Health Worker in Chicago, IL. Individual provider (NPI-1).

NPI number1104697994
StatusActive
Last updated in NPPESJan 11, 2024

Details

NPI
1104697994
Entity type
Individual (NPI-1)
Name
Paul Hewitt
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 11, 2024
Certification date
Jan 11, 2024
Last updated
Jan 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1902 W Cermak Rd
Chicago, IL 60608-4204

Phone 773-596-9045

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

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