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Ellen M Hennecke, DO
Family Medicine Physician in Evergreen Park, Illinois
NPI 1699751156

Ellen M Hennecke is a Family Medicine Physician based in Homewood, IL. Ellen M Hennecke practices in Evergreen Park, IL and has the professional credentials of DO. The NPI Number for Ellen M Hennecke is 1699751156 and holds a License No. (Illinois).

The current practice location address for Ellen M Hennecke is 3927 W 95Th St, Evergreen Park, IL and can be reached out via phone at 708-952-4566 and via fax at 708-952-4568.

Location: 3927 W 95Th St, Evergreen Park, IL, 60430-2238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699751156
Provider Name
Ellen M Hennecke
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3927 W 95Th St, Evergreen Park, IL, 60430-2238
Phone Number
708-952-4566
Fax Number
708-952-4568
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01628066 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3927 W 95Th St
City
Evergreen Park
State
Illinois
Zip
60805-1903
Phone Number
708-952-4566
Fax Number
708-952-4568
person
Provider Business Mailing Address Details
Address
3927 W 95Th St
City
Evergreen Park
State
Illinois
Zip
60805-1903
Phone Number
708-952-4566
Fax Number
708-952-4568
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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