Individual
DR. EDWARD PATRICK HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 S HEATON ST, MORRISON, IL 61270-2007
(815) 772-8100
Mailing address
PO BOX 554, MILLEDGEVILLE, IL 61051-0554
(815) 631-7637
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009960
IL
Other
Enumeration date
07/02/2007
Last updated
08/09/2012
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