Dawn R Hackel DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004903 Issued in IL

Legal business name

DAWN R HACKEL DPM PC

Practice address

153 N 19TH Ave
Melrose Park, IL 60160-3702

Phone

(708) 344-4300

Fax

(708) 344-4358

NPI assigned

Aug 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dawn R Hackel, DPMNPI 1124036546

Title

President

Phone

(708) 344-4300

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn R Hackel, DPM

  • Podiatrist
  • Melrose Park, IL
  • NPI 1124036546
  Medicare reassignment NPD Authorized official
• Linda A. Walker, L.M.T.

  • Massage Therapist
  • Lake Forest, IL
  • NPI 1063753945
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1841308343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603702",
            "telephone_number": "708-344-4300",
            "fax_number": "708-344-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603702",
            "telephone_number": "708-344-4300",
            "fax_number": "708-344-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN R HACKEL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "HACKEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004903",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "5047180002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA6978",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004903",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malgorzata Helena Cudzich Nowakowski
• Razan Dababneh
• Claudia Maria Dado, DDS
• Beth Davis Phillpotts, MD
• Alicia Davis
• Liliana De Leon
• Robert Deangeles, DDS
• Nicole Decoudres, PA-C
• Daisy Del Toro
• Claribel Delatorre

• Foot & Ankle Surgery Podiatrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.