Healthcare Provider Details

I. General information

NPI: 1023972494
Provider Name (Legal Business Name): DPEC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 W OAKTON ST STE A
DES PLAINES IL
60018-1857
US

IV. Provider business mailing address

782 W OAKTON ST STE A
DES PLAINES IL
60018-1857
US

V. Phone/Fax

Practice location:
  • Phone: 224-236-2020
  • Fax: 224-236-2021
Mailing address:
  • Phone: 224-236-2020
  • Fax: 224-236-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL HANACEK
Title or Position: SOLE MBR
Credential: OD
Phone: 224-236-2020