Individual
COLLEEN ANN HENIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2850 W 95TH ST, SUITE 205, EVERGREEN PARK, IL 60805-2735
(708) 499-2070
(708) 229-6072
Mailing address
2850 W 95TH ST, SUITE 205, EVERGREEN PARK, IL 60805-2735
(708) 499-2070
(708) 229-6072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036091536
IL
Other
Enumeration date
06/28/2005
Last updated
06/18/2014
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