Individual
HANY NAEM DEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N CALIFORNIA AVE STE 780, CHICAGO, IL 60625-7066
(773) 989-3957
(773) 989-3971
Mailing address
2740 W FOSTER AVE, STE 310, CHICAGO, IL 60625-3547
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036123309
IL
207RC0000X
Cardiovascular Disease Physician
036123309
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.123309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123309
—
IL
Enumeration date
10/30/2007
Last updated
01/16/2021
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