Provider Demographics
NPI:1922056084
Name:HESSEL, DAWN ANN (ATC)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:ANN
Last Name:HESSEL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 W MOFFAT ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5517
Mailing Address - Country:US
Mailing Address - Phone:847-626-2292
Mailing Address - Fax:847-626-3300
Practice Address - Street 1:NILES NORTH HIGH SCHOOL
Practice Address - Street 2:9800 LAWLER AVE
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-626-2292
Practice Address - Fax:847-626-3300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer