Hackel, Dawn R
Hackel, Dawn R is an sole proprietor health care provider with primary practice located at 153 N 19Th Ave , Melrose Park IL 60160-3702. She recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Hackel, Dawn R can be contacted via phone (708) 344-4300.Contact Information
Primary practice address
153 N 19Th Ave
Melrose Park IL 60160-3702
Phone: (708) 344-4300
Fax: (708) 344-4358
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5047180002 | Illinois |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004903 | Illinois |
Profile Details
NPI number | 1124036546 |
---|---|
LBN Legal business name | Hackel, Dawn R |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2006 |
Last updated | Sep 14th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124036546 | NPPES |
Illinois | Other | DA6978 | MEDICARE RAILROAD |
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