Individual
ELEANOR J HOMENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
74 ROBSART RD, KENILWORTH, IL 60043-1211
(847) 251-6956
Mailing address
74 ROBSART RD, KENILWORTH, IL 60043-1211
(847) 251-6956
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036046154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046154
—
IL
Enumeration date
06/23/2008
Last updated
06/23/2008
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