Provider Demographics
NPI:1396146833
Name:HANGORA, DANISH (MD)
Entity type:Individual
Prefix:
First Name:DANISH
Middle Name:
Last Name:HANGORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 NEAL AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60433-2548
Mailing Address - Country:US
Mailing Address - Phone:815-727-8869
Mailing Address - Fax:815-727-5975
Practice Address - Street 1:1106 NEAL AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60433-2548
Practice Address - Country:US
Practice Address - Phone:815-727-8869
Practice Address - Fax:815-727-5975
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA095156002084P0800X
IL0361378172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry