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Individual

SHERINE HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2160 S FIRST AVE, BLDG., RM. 3102, MAYWOOD, IL 60153
(708) 216-8866
(708) 216-1249
Mailing address
1209 LAKE SHORE DR, LISLE, IL 60532-4547
(630) 479-6445

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36092809
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36092809
IL
Enumeration date
01/26/2006
Last updated
09/27/2013
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