Individual
DR. JEROME J HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10323 S CALIFORNIA AVE, CHICAGO, IL 60655-1610
(773) 779-8499
(773) 429-9972
Mailing address
10323 S CALIFORNIA AVE, CHICAGO, IL 60655-1610
(773) 779-8499
(773) 429-9972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.088163
IL
207L00000X
Anesthesiology Physician
036088163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088163
—
IL
Enumeration date
10/17/2006
Last updated
03/17/2021
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