Healthcare Provider Details

I. General information

NPI: 1043520810
Provider Name (Legal Business Name): HANY ESKANDER DPT, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 08/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6528 CAMBRIDGE ROAD
WILLOWBROOK IL
60527-5404
US

IV. Provider business mailing address

908 N ELM ST SUITE 306
HINSDALE IL
60521-3635
US

V. Phone/Fax

Practice location:
  • Phone: 630-323-3226
  • Fax:
Mailing address:
  • Phone: 630-323-5214
  • Fax: 630-323-5297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070006636
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: