IndividualActive
Hazel Boncodin, M.S.N.
NPI 1225263148 · Critical Care Medicine Clinical Nurse Specialist · Oak Lawn, IL
Provider details
- NPI number
- 1225263148
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- M.S.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 209007134 (IL)
Practice location
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-4571
Fax: (708) 684-3173
Mailing address
4440 W 95th St
Oak Lawn, IL 60453-2600
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2009-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.