Sean Charles Hennon, DO | |
1653 W Congress Pkwy, Chicago, IL 60612-3833 | |
(312) 942-5495 | |
Not Available |
Full Name | Sean Charles Hennon |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1653 W Congress Pkwy, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164927141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036160213 (Illinois) | Secondary |
207R00000X | Internal Medicine | 125.073364 (Illinois) | Secondary |
207L00000X | Anesthesiology | 125.073364 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | West Central Anesthesiology Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396785648 PECOS PAC ID: 8426089863 Enrollment ID: O20050825000805 |
Mailing Address | Practice Location Address |
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Sean Charles Hennon, DO 600 S Paulina St Ste 403, Chicago, IL 60612-3806 Ph: (312) 942-5495 | Sean Charles Hennon, DO 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (312) 942-5495 |
Dr. Aaron Daniel Kallsnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-282-7000 | |
Mr. Abbas Al-qamari, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Michigan Ave, Unit 602, Chicago, IL 60605 Phone: 847-863-7486 | |
Dr. Raymond S Belmonte, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 E Washington St, Suite 300, Chicago, IL 60602 Phone: 312-726-3329 | |
Cassidy Schwab, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-695-0061 | |
Vidhi Srivastava, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Samuel Johnson, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St Ste 403, Chicago, IL 60612 Phone: 312-942-3134 Fax: 501-380-2282 | |
Dr. Kimberly Lois Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 E 51st St, Chicago, IL 60615 Phone: 312-572-2680 Fax: 312-572-2686 |