Individual
PATRICIA R. HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(773) 718-4575
(312) 666-7928
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(773) 718-4575
(312) 666-7928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036091308
IL
Other
Enumeration date
08/08/2006
Last updated
02/08/2012
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