ELLEN HENNECKE, DO

Family Medicine

Active Individual
NPI: 1699751156

Practice Address

3927 W 95TH ST
Evergreen Park, IL 60805

Phone: (708) 952-4566

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1699751156 is the National Provider Identifier for ELLEN HENNECKE, DO, a Family Medicine provider located in Evergreen Park, IL. This NPI was enumerated on December 16, 2005.
ELLEN HENNECKE, DO practices at 3927 W 95TH ST, Evergreen Park, IL 60805.

Quick Facts

NPI
1699751156
Type
Individual
Enumerated
Dec 16, 2005
Last Updated
Jul 8, 2007

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