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General NPI Number Information
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NPI Number | 1841285897
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Entity Type | Individual
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Provider Name | DONNA M HANLON MD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 1100 LAKE ST SUITE LL56
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City | OAK PARK
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State | IL
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Zip | 60301-1015
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Country | US
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Telephone | 888-220-6432
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Fax | 630-654-4253
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Provider Business Mailing Address
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Address Line | 901 MCCLINTOCK DRIVE SUITE 202
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City | BURR RIDGE
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State | IL
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Zip | 60527-0844
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Country | US
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Telephone | 888-220-6432
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Fax | 630-654-4253
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036056305
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License Number State | IL
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