Active NPI
Donna M Hanlon, MD
- Infectious Disease Physician
- Oak Park, IL
National Provider Identifier
1841285897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036056305
- Practice address
- 1100 Lake St
Suite LL56
Oak Park, IL 60301-1015 - Phone
- (888) 220-6432
- Fax
- (630) 654-4253
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 036056305 | IL | Primary |
Addresses
Primary practice location
1100 Lake St
Suite LL56
Oak Park, IL 60301-1015
Mailing address
901 McClintock Drive
Suite 202
Burr Ridge, IL 60527-0844
Phone (888) 220-6432
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110044983 | Other | IL | RAILROAD MEDICARE |
| 036056305 | Medicaid | IL | |
| 2160743632 | Other | IL | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036056305 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malcolm a Deam MD & Associates SC | Infectious Disease | Past | Accepting new patients |
| West Suburban Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Oak Park, IL
- NPI 1437160876
-
- Skilled Nursing Facility
- Oak Park, IL
- NPI 1538206974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1841285897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DRIVE",
"address_2": "SUITE 202",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270844",
"telephone_number": "888-220-6432",
"fax_number": "630-654-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE ST",
"address_2": "SUITE LL56",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011015",
"telephone_number": "888-220-6432",
"fax_number": "630-654-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "DONNA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036056305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110044983",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036056305",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "2160743632",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.