Individual
DR. MICHAEL HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7638 W NORTH AVE, ELMWOOD PARK, IL 60707-4157
(708) 452-4257
(708) 452-4283
Mailing address
7638 W NORTH AVE, ELMWOOD PARK, IL 60707-4157
(708) 452-4257
(708) 452-4283
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036090346
IL
Other
Enumeration date
09/30/2005
Last updated
04/05/2023
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