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NPI Code Detail

MEDICARE: HAC 2 INC

MEDICARE: HAC 2 INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy93013469IL
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11478634OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1518000926
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAC 2 INC
Provider Business Mailing Address
First Line : 1053 JASON PL
Second Line :
City : CHATHAM
State : IL
Zip : 62629-2018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1053 JASON PL
Second Line :
City : CHATHAM
State : IL
Zip : 62629-2018
Country : US
Telephone Number : 217-483-7431
Fax Number : 217-483-7491
Authorized Official
Title or Position : PRESIDENT
Name : DONNA MATTERA
Credential :
Telephone Number : 217-622-9276
Provider Enumeration Date : 02/15/2007
Last Update Date : 09/11/2025

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Directions to “HAC 2 INC ” Practice Location

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