Individual
DR. BLAINE HANNAFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, ADVOCATE CHRIST MEDICAL CENTER: EMERGENCY DEPT., OAK LAWN, IL 60453-2600
(708) 684-4077
Mailing address
4440 W 95TH ST, ADVOCATE CHRIST MEDICAL CENTER: EMERGENCY DEPT., OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.122086
IL
207P00000X
Emergency Medicine Physician
Primary
35799
AZ
Other
Enumeration date
10/05/2006
Last updated
02/11/2022
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