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Organization

PEDIATRIC HEART SURGERY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANI A HENNEIN MD (PRESIDENT)
(630) 860-0035
Entity
Organization

Contact information

Practice address
311 N WALNUT AVE, SUITE 100, WOOD DALE, IL 60191-1566
(630) 860-0035
(630) 860-5262
Mailing address
6547 N AVONDALE AVE, #001, CHICAGO, IL 60631-1573
(773) 775-1622
(773) 775-1693

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-099190
IL

Other

Enumeration date
02/12/2009
Last updated
02/12/2009
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