Individual
DANIEL HANACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2650 N MILWAUKEE AVE, CHICAGO, IL 60647-2090
(773) 697-9735
Mailing address
10235 KEDVALE AVE, OAK LAWN, IL 60453-4239
(708) 945-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011557
IL
Other
Enumeration date
08/02/2021
Last updated
09/14/2021
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