Provider Demographics
NPI:1104833961
Name:HOENIG, JEREMY M (MD)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:M
Last Name:HOENIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3606
Mailing Address - Country:US
Mailing Address - Phone:708-484-3118
Mailing Address - Fax:708-788-0695
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:EMS BUILDING, SECTION OF EMERGENCY MEDICINE
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-327-2549
Practice Address - Fax:708-327-2548
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine