Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blaine Hannafin, MD

Individual provider Emergency Medicine Physician · NPI 1679669691

Dr. Blaine Hannafin, MD is an Emergency Medicine in Oak Lawn, Illinois. Graduated from University of Alabama School of Medicine in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
22
Trained at
University of Alabama School of Medicine
Licensed in
AZ, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4440 W 95th St Advocate Christ Medical Center: Emergency Dept
Oak Lawn, IL 60453-2600
Phone: (708) 684-4077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35799 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.122086 (IL)

Record details

NPI number1679669691
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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