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Individual

KIERRE R HONORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
(773) 967-5808
Mailing address
11342 S HALE AVE, CHICAGO, IL 60643-4272

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036116156
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000578856
BCBS
IN
05
200910150
IN
01
90001082
BCBS
IL
Enumeration date
07/23/2006
Last updated
10/16/2008
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