Organization
MYMENOPAUSERX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBRA HANNA DO (MANAGER)
(855) 444-6679
Entity
Organization
Contact information
Practice address
1604 N MAIN ST, WHEATON, IL 60187-3145
(855) 444-6679
(833) 740-1146
Mailing address
1604 N MAIN ST, WHEATON, IL 60187-3145
(855) 444-6679
(833) 740-1146
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
10/07/2022
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