Hancock, Peter A

Hancock, Peter A is an sole proprietor health care provider with primary practice located at 4646 N Marine Dr Ste C-6500, Chicago IL 60640-5759. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hancock, Peter A can be contacted via phone (773) 784-8102.

Contact Information

Primary practice address
4646 N Marine Dr Ste C-6500 Chicago IL 60640-5759
Phone: (773) 784-8102
Fax: (847) 215-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016002787 Illinois

Profile Details

NPI number 1407850969
LBN Legal business name Hancock, Peter A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2005
Last updated Jul 30th, 2007 - about 19 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 1407850969 NPPES
Illinois MEDICAID 016002787

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