Individual
RODGER HANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7311
Mailing address
75 REMIT DRIVE, LOCKBOX 1876, CHICAGO, IL 60675-1876
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-103746
IL
207P00000X
Emergency Medicine Physician
R8F99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103746
—
IL
05
—
208372300
—
MO
Enumeration date
07/13/2006
Last updated
02/08/2008
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