Individual
DR. PETER A HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4646 N MARINE DR, STE C-6500, CHICAGO, IL 60640-5759
(773) 784-8102
(847) 215-0240
Mailing address
30 LAUREL TRL, WHEELING, IL 60090-4416
(847) 215-1564
(847) 215-0240
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002787
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002787
—
IL
Enumeration date
06/11/2005
Last updated
07/30/2007
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