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Organization
DAWN R HACKEL DPM PC
Active
Organization
DAWN R HACKEL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN R HACKEL DPM (PRESIDENT)
(708) 344-4300
Entity
Organization
Contact information
Practice address
153 N 19TH AVE, MELROSE PARK, IL 60160-3702
(708) 344-4300
(708) 344-4358
Mailing address
153 N 19TH AVE, MELROSE PARK, IL 60160-3702
(708) 344-4300
(708) 344-4358
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004903
IL
332B00000X
Durable Medical Equipment & Medical Supplies
5047180002
IL
Other
Enumeration date
08/26/2006
Last updated
01/19/2012
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