John P Hanlon, MD, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036070505 Issued in IL

Legal business name

JOHN P HANLON, MD, LLC

Practice address

2850 W 95TH St
Suite 401
Evergreen Park, IL 60805-2790

Phone

(708) 499-5500

Fax

(708) 499-4200

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John P Hanlon, MD

Title

Owner

Phone

(708) 499-5500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1801924113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 401",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052790",
            "telephone_number": "708-499-5500",
            "fax_number": "708-499-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 401",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052790",
            "telephone_number": "708-499-5500",
            "fax_number": "708-499-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P HANLON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-499-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036070505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.