Organization
JOHN P HANLON, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P HANLON MD (OWNER)
(708) 499-5500
Entity
Organization
Contact information
Practice address
2850 W 95TH ST, SUITE 401, EVERGREEN PARK, IL 60805-2790
(708) 499-5500
(708) 499-4200
Mailing address
2850 W 95TH ST, SUITE 401, EVERGREEN PARK, IL 60805-2790
(708) 499-5500
(708) 499-4200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036070505
IL
Other
Enumeration date
02/28/2007
Last updated
09/12/2008
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