Individual
DR. MATTHEW SCOTT HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4061 W 95TH ST STE 3, OAK LAWN, IL 60453-2611
(708) 423-2880
(708) 423-2933
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-098805
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621926
BLUE CROSS BLUE SHIELD
IL
01
—
080139777
RAILROAD MEDICARE
IL
Enumeration date
08/31/2006
Last updated
08/08/2023
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