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Individual

GEORGE HEFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-6100
Mailing address
921 SHERWOOD DR, LAKE BLUFF, IL 60044-2203

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036083805
IL
207L00000X
Anesthesiology Physician
57253
WI

Other

Enumeration date
08/07/2006
Last updated
07/25/2022
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