Individual
DONNA M HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 LAKE ST, SUITE LL56, OAK PARK, IL 60301-1015
(888) 220-6432
(630) 654-4253
Mailing address
901 MCCLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036056305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056305
—
IL
01
—
110044983
RAILROAD MEDICARE
IL
01
—
2160743632
BCBS PROVIDER ID
IL
Enumeration date
09/15/2005
Last updated
12/13/2013
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