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Pediatric Heart Surgery Associates, LLC

NPI #1114166295 in Wood Dale, Illinois

Provider Information

NPI Number
1114166295
Entity Type
Organization
Organization Name
Pediatric Heart Surgery Associates, LLC
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Feb 12, 2009
Last Updated
Feb 12, 2009

Practice Location

Address
311 N WALNUT AVE
Address 2
SUITE 100
City
Wood Dale
State
Illinois
ZIP Code
60191-1566
Phone
(630) 860-0035

Authorized Official

Name
DR. HANI A HENNEIN, MD
Title
PRESIDENT
Phone
(630) 860-0035

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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