# JOHN P HANLON, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801924113
- **Authorized official:** JOHN P HANLON MD (OWNER)
- **Authorized official phone:** (708) 499-5500

## Contact information

- **Practice address:** 2850 W 95TH ST, SUITE 401, EVERGREEN PARK, IL 60805-2790
- **Practice address phone:** (708) 499-5500
- **Practice address fax:** (708) 499-4200
- **Mailing address:** 2850 W 95TH ST, SUITE 401, EVERGREEN PARK, IL 60805-2790
- **Mailing address phone:** (708) 499-5500
- **Mailing address fax:** (708) 499-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036070505 | IL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 09/12/2008