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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124036546 NPPES
Illinois Other DA6978 MEDICARE RAILROAD

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