Individual
DR. MICHAEL MARCUS HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(847) 682-3967
Mailing address
1615 S NORBURY AVE, LOMBARD, IL 60148-6182
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
036.126584
IL
Other
Enumeration date
08/04/2008
Last updated
12/07/2012
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