Individual
MR. DAVID W HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2923 N CALIFORNIA AVE, STE 220, CHICAGO, IL 60618-7702
(888) 200-6432
(630) 734-4715
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 200-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-067225
IL
207RI0200X
Infectious Disease Physician
34417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-067-225
—
IL
05
—
0420299
—
IA
Enumeration date
09/23/2005
Last updated
12/21/2021
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