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Individual

SEAN CHARLES HENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5495
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-5495

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036160213
IL
207L00000X
Anesthesiology Physician
Primary
125.073364
IL
207R00000X
Internal Medicine Physician
125.073364
IL

Other

Enumeration date
03/29/2018
Last updated
02/07/2024
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