JACOB RALPH HENINGER

CHICAGO, IL
NPI1013334499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP3000X Anesthesiology Pediatric Anesthesiology
(Licence: IL  036.141802)
Enumeration Date2014-03-24
Last Update Date2021-04-13
Business Address
DR. JACOB RALPH HENINGER D.O.
225 E CHICAGO AVE
CHICAGO, IL 60611
Phone number: 312-227-5170
Mailing Address
DR. JACOB RALPH HENINGER D.O.
2030W CHURCHILL ST
CHICAGO, IL 60647-5537
Phone number: 563-343-3401
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