Provider Demographics
NPI:1306975271
Name:BEDAIR, HANY (MD)
Entity type:Individual
Prefix:DR
First Name:HANY
Middle Name:
Last Name:BEDAIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 WESTBROOK CORP CTR
Mailing Address - Street 2:#240
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5701
Mailing Address - Country:US
Mailing Address - Phone:708-236-2673
Mailing Address - Fax:708-492-5673
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:#1063
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-243-4244
Practice Address - Fax:312-243-2744
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2008-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036120785207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL# 1633878OtherBCBS
ILK52163-#207067Medicare PIN
ILK52164-#207073Medicare PIN