Hennig, Brian

Hennig, Brian is an individual health care provider with primary practice located at 350 S Northwest Hwy Ste 106 , Park Ridge IL 60068-4262. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hennig, Brian can be contacted via phone (847) 470-1500.

Contact Information

Primary practice address
350 S Northwest Hwy Ste 106 Park Ridge IL 60068-4262
Phone: (847) 470-1500
Fax: (847) 470-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001275 Illinois

Profile Details

NPI number 1457439408
LBN Legal business name Hennig, Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457439408 NPPES
Illinois Other 001619727 BCBS OF ILLINOIS

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