# DAWN R HACKEL DPM PC

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

## Provider details

- **NPI number:** 1841308343
- **Authorized official:** DR. DAWN R HACKEL DPM (PRESIDENT)
- **Authorized official phone:** (708) 344-4300

## Contact information

- **Practice address:** 153 N 19TH AVE, MELROSE PARK, IL 60160-3702
- **Practice address phone:** (708) 344-4300
- **Practice address fax:** (708) 344-4358
- **Mailing address:** 153 N 19TH AVE, MELROSE PARK, IL 60160-3702
- **Mailing address phone:** (708) 344-4300
- **Mailing address fax:** (708) 344-4358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004903 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5047180002 | IL | — |

## Other

- **Enumeration date:** 08/26/2006
- **Last updated:** 01/19/2012