Search › Illinois › 207P00000X
Nicolas Kettaneh, M.D
NPI 1063708196 · on the registry since 2011
Practice
- Address
- 4440 W 95th St
Oak Lawn, IL 60453 - Phone
- (708) 684-5354
- Fax
- (708) 684-1028
- Organisation at this address
- Uic
Stacie Ward
Walgreen Co
Surgical Partners
Advocate Christ HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,126
Additional practice sites
- 120 N Oak St, Hinsdale, IL
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois