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1457439408
BRIAN HENNIG
PARK RIDGE, IL
NPI
1457439408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085001275)
Enumeration Date
2006-11-01
Last Update Date
2021-12-08
Business Address
Mr. BRIAN HENNIG PA-C
350 S NORTHWEST HWY STE 106
PARK RIDGE, IL 60068-4262
Phone number: 847-470-1500
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Mailing Address
Mr. BRIAN HENNIG PA-C
350 S NORTHWEST HWY STE 106
PARK RIDGE, IL 60068-4262
Phone number: 847-470-1500
Copy
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