Raymond E Hines III, PA-C

NPI #1265524839 in Mokena, Illinois

Provider Information

NPI Number: 1265524839
Entity Type: Individual
Name: Raymond E Hines III, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 29, 2006
Last Updated: Mar 19, 2010

Practice Location

Address: 19110 DARVIN DR
Address 2: SUITE C
City: Mokena
State: Illinois
ZIP Code: 60448-8595
Phone: (708) 390-2290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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