Individual
HANS JONNATHAN HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1841 W ARMY TRAIL RD, ADDISON, IL 60101-1901
(630) 238-9235
(630) 566-4207
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-065501
IL
Other
Enumeration date
06/18/2014
Last updated
07/23/2020
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