Provider Demographics
NPI:1235395567
Name:RECKER, DARLENE (DO)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:RECKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 W. CONGRESS PARKWAY
Mailing Address - Street 2:DPT OF ANESTHESIOLOGY, JELKE 7
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3833
Mailing Address - Country:US
Mailing Address - Phone:312-942-5000
Mailing Address - Fax:312-942-8858
Practice Address - Street 1:1653 W. CONGRESS PKWY
Practice Address - Street 2:DPT OF ANESTHESIOLOGY, JELKE 7
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-942-5000
Practice Address - Fax:312-942-8858
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125 054124207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology