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Individual

DR. DOUGLAS A HENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1925 HUNTLEY RD, WEST DUNDEE, IL 60118-9301
(815) 338-6600
(847) 428-7425
Mailing address
1925 HUNTLEY RD, WEST DUNDEE, IL 60118-9301
(815) 338-6600
(847) 428-7425

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-090769
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036090769 2
IL
01
1316017155
BCBSWI
WI
01
HENNIDOU
MERCYCARE INSURANCE
WI
Enumeration date
11/09/2006
Last updated
09/20/2021
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