Individual
HANNAH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1660 FEEHANVILLE DR STE 100, MOUNT PROSPECT, IL 60056-6019
(847) 390-7666
(847) 390-9345
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005693
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
2258
TX
Other
Enumeration date
03/26/2013
Last updated
12/30/2021
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