Individual
MS. DONNA LYNN HANETHO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
301 E RAND RD, MT PROSPECT, IL 60056-6089
(847) 398-1775
Mailing address
474 LAMBERT DR, SCHAUMBURG, IL 60193-1833
(847) 310-1868
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
IL
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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