DR. MATTHEW SCOTT HANLON (NPI# 1104937622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104937622 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SCOTT HANLON |
| Credential | D.O. |
| Practice Address |
2850 W 95th St Suite 403 Evergreen Park IL 60805-2735 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-2735 |
| Practice Telephone | 7084232662 |
| Practice Fax Number | 7084227264 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-098805 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 01621926 | 01 |
| IL | RAILROAD MEDICARE | 080139777 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841779550 | Matthew John Hanlon | Counselor | 1957 Blairs Ferry Rd Ne Ste 600, Cedar Rapids, IA 52402-5892 | 2018-08-13 |
| 1801227541 | Matthew James Hanlon | Marriage & Family Therapist | 12 S 7th Ave, Saint Charles, IL 60174-2208 | 2013-12-05 |
| 1083041610 | Matthew Hanlon | Counselor | 1600 E Olive St, Seattle, WA 98122-2735 | 2013-09-27 |
| 1497191423 | Matthew J Hanlon | Transplant Surgery | 750 East Adams St, Syracuse, NY 13210 | 2013-05-16 |
| Street Address |
2850 W 95TH ST SUITE 403 |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760480 | Michael R Fiorucci | Surgery | 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735 | 2005-06-16 |
| 1295197697 | Shina Keaonis Gordon | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2016-03-24 |
| 1659757888 | Yvonne Oldaker | Advanced Practice Midwife | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-08-11 |
| 1386037984 | Leslie Kelly | Nurse Practitioner | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2015-03-06 |
| 1558754291 | Gina Marie Chigaros | Counselor | 2850 W 95th St, Mary Potter Pavilion Suite 403, Evergreen Park, IL 60805-2735 | 2015-03-05 |
| 1629487806 | Deon Shere Cooper | Registered Nurse | 2850 W 95th St, Suite 301, Evergreen Park, IL 60805-2735 | 2014-08-12 |
| 1750621884 | Cynthia M Hayes | Clinical Nurse Specialist | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2013-02-27 |
| 1336488212 | The Cardiology Group | Clinical Nurse Specialist | 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 | 2013-02-12 |
| 1255608808 | Kunhunn Vellody Md | Clinic/Center | 2850 W 95th St, Suite 201, Evergreen Park, IL 60805-2735 | 2011-11-28 |
| 1457649121 | Ryan Kukor | Internal Medicine | 2850 W 95th St, Suite 102, Evergreen Park, IL 60805-2735 | 2011-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093973893 | Maureen Theresa Butler | Family Medicine | 2850 W 95th St Ste 403, Evergreen Park, IL 60805-2790 | 2008-05-28 |
| 1194914093 | Alzein Medical Ltd | Family Medicine | 2850 W 95th St Ste 400, Evergreen Park, IL 60805-2755 | 2007-10-17 |
| 1184600207 | Richard E Odonnell | Family Medicine | 3927 W 95th Street, Evergreen Park, IL 60805 | 2005-12-20 |
| 1699751156 | Ellen M Hennecke | Family Medicine | 3927 W 95th St, Evergreen Park, IL 60805-1903 | 2005-12-16 |
| 1023376266 | Hasan Suleiman | Family Medicine | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2012-04-25 |
| 1487970471 | Gabriela Maritza Delgado | Family Medicine | 2850 W 95th St, Suite 403, Evergreen Park, IL 60805-2735 | 2010-04-15 |
| 1073746046 | George Thomas | Family Medicine | 9760 S Kedzie Ave, Suite 2, Evergreen Park, IL 60805-3109 | 2009-08-25 |
| 1487883831 | Ginny L Hendricks | Family Medicine | 2850 W 95th St, Suite 101, Evergreen Park, IL 60805-2735 | 2009-07-07 |
| 1073706388 | Hugh Med Group Inc | Family Medicine | 2850 W 95th St, Suite #304, Evergreen Park, IL 60805-2735 | 2007-08-20 |
| 1144421017 | Richard E Odonnell Do Sc | Family Medicine | 3927 W 95th St, Evergreen Park, IL 60805-1903 | 2007-05-30 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.