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Individual

DR. DAWN L HACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9301 MADISON ST, CROWN POINT, IN 46307-7745
(219) 662-5000
(219) 662-5181
Mailing address
24826 S WILLOW BROOK TRL, CRETE, IL 60417-3715
(219) 689-1073

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001902
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200379960A
IN
Enumeration date
05/31/2005
Last updated
04/13/2018
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