Individual
DR. MICHAEL W HENIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11824 SOUTHWEST HWY, SUITE 130, PALOS HEIGHTS, IL 60463-1055
(708) 277-6150
(708) 277-6110
Mailing address
11824 SOUTHWEST HWY, SUITE 130, PALOS HEIGHTS, IL 60463-1055
(708) 277-6150
(708) 277-6110
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036081840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036081840
MEDICAID
IL
01
—
290013000
PALMETTO RR MEDICARE
IL
Enumeration date
06/06/2006
Last updated
04/21/2017
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