Provider Demographics
NPI:1619043494
Name:HADLER, BETTY JUNE (RN)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:JUNE
Last Name:HADLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 ROBERT YORK AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4347
Mailing Address - Country:US
Mailing Address - Phone:847-405-9794
Mailing Address - Fax:
Practice Address - Street 1:610 ROBERT YORK AVE APT 310
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4347
Practice Address - Country:US
Practice Address - Phone:847-405-9794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical