Individual
HANI HORANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 JOHN DEERE RD, SUITE 200, MOLINE, IL 61265-6869
(309) 779-4220
Mailing address
600 JOHN DEERE RD, SUITE 200, MOLINE, IL 61265-6869
(309) 779-4220
(309) 779-4221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036109377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109377
—
IL
01
—
P00434150
RR MEDICARE
IL
Enumeration date
11/02/2006
Last updated
06/11/2008
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