Provider Demographics
NPI:1063743433
Name:HARDT, KEVIN D (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:D
Last Name:HARDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-695-6800
Mailing Address - Fax:312-695-2771
Practice Address - Street 1:259 E ERIE ST
Practice Address - Street 2:13TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2987
Practice Address - Country:US
Practice Address - Phone:312-695-6800
Practice Address - Fax:312-695-2771
Is Sole Proprietor?:No
Enumeration Date:2010-01-24
Last Update Date:2016-12-19
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Provider Licenses
StateLicense IDTaxonomies
IL036.135577207X00000X
IL036135577207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery