# HANSAMSSP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659917797
- **Authorized official:** DR. CHIRAG PATEL (MANAGER)
- **Authorized official phone:** (312) 933-5719

## Contact information

- **Practice address:** 746 LOCUST RD, WILMETTE, IL 60091-2240
- **Practice address phone:** (312) 933-5719
- **Practice address fax:** (888) 664-1191
- **Mailing address:** 746 LOCUST RD, WILMETTE, IL 60091-2240
- **Mailing address phone:** (312) 933-5719
- **Mailing address fax:** (888) 664-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 05/02/2025
