Individual
HANNY ISAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N HARLEM AVE, FREEPORT, IL 61032-3801
(815) 599-7785
Mailing address
PO BOX 268, FREEPORT, IL 61032-0268
(815) 599-7924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-128638
IL
207W00000X
Ophthalmology Physician
MT191692
PA
Other
Enumeration date
07/05/2007
Last updated
04/22/2019
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