Individual
DR. MIGUEL HIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 W COURT ST, STE 304, KANKAKEE, IL 60901-3694
(815) 933-4422
(815) 933-4446
Mailing address
455 W COURT ST, STE 304, KANKAKEE, IL 60901-3694
(815) 933-4422
(815) 933-4446
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036069883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069883
—
IL
05
—
L06871
—
IL
Enumeration date
06/14/2005
Last updated
07/09/2007
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