Organization
HEALTHY KIDS,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAFAA HANNA MD (PRESIDENT)
(708) 478-4666
Entity
Organization
Contact information
Practice address
18210 LA GRANGE RD STE 109, TINLEY PARK, IL 60487-7723
(708) 478-4666
(708) 478-8444
Mailing address
18210 LA GRANGE RD STE 109, TINLEY PARK, IL 60487-7723
(708) 478-4666
(708) 478-8444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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