Dorothy Kay Hines | |
2198 Gladstone Ct Suite A Glendale Heights IL 60139-1514 | |
(630) 980-5480 | |
(630) 980-5485 |
Full Name | Dorothy Kay Hines |
---|---|
Speciality | Internal Medicine |
Location | 2198 Gladstone Ct, Glendale Heights, Illinois |
Authorized Official Name and Position | Dorothy Kay Hines (OWNER) |
Authorized Official Contact | 6309805480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dorothy Kay Hines 2198 Gladstone Ct Suite A Glendale Heights IL 60139-1514 Ph: (630) 980-5480 | Dorothy Kay Hines 2198 Gladstone Ct Suite A Glendale Heights IL 60139-1514 Ph: (630) 980-5480 |
NPI Number | 1699946566 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699946566 | NPI | - | NPPES |
P00271772 | Other | IL | RAILROAD MEDICARE |
2232761 | Other | IL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036108131 (Illinois) | Primary |
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