Ellen M Hennecke (NPI# 1699751156, PAC ID# 7911094420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1699751156 |
| PAC ID by PECOS | 7911094420 |
| Professional Enrollment ID | I20071031000249 |
| Full Name | Ellen M Hennecke |
| Address |
3927 W 95th St Evergreen Park IL 60805-1903 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3927 W 95th St, Evergreen Park, IL 60805-1903 |
| Street Address |
3927 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip | 60805-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Odonnell | Family Medicine | 3927 W 95th St, Evergreen Park, IL 60805-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satwant Kingra | Internal Medicine | 2733 W 87th St, Evergreen Park, IL 60805-1104 | |
| Carolyn Anne Paulius | Nurse Practitioner | Satwant Kingra Md Sc | 2733 W 87th St, Evergreen Park, IL 60805-1104 |
| Ejikeme O Obasi | Nephrology | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Chijoke H Onyenwenyi | Nephrology | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Lilla Wojciechowski | Nurse Practitioner | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Jeanette Mclaughlin | Nephrology | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Gopal Madhav | Internal Medicine | 3900 W 95th St, Suite 6, Evergreen Park, IL 60805-1901 | |
| Mohamad A Abdessamad | Nephrology | Kidney and Hypertension Associates Ltd | 3913 W 95th St, Evergreen Park, IL 60805-1903 |
| Dragomir Jovanovic | Family Practice | P D Medical, S.c. | 3913 W 95th St, Evergreen Park, IL 60805-1903 |
| Oliver Hershel Drabkin | Dermatology | Oliver Drabkin M.d. S.c. | 3900 W 95th St, Evergreen Park, IL 60805-1922 |
| Find all physicians in zip 60805 | |||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | EVERGREEN PARK + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ellen M Hennecke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.