Individual
HANI SSAAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6021 BLODGETT AVE, DOWNERS GROVE, IL 60516-2009
(312) 841-1060
Mailing address
6021 BLODGETT AVE, DOWNERS GROVE, IL 60516-2009
(312) 841-1060
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238000386
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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