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1063708196
NICOLAS KETTANEH
OAK LAWN, IL
NPI
1063708196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036.133560)
Enumeration Date
2011-06-27
Last Update Date
2022-05-25
Business Address
NICOLAS KETTANEH M.D.
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5354
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Mailing Address
NICOLAS KETTANEH M.D.
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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