Individual
TONIA C HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1425 N RANDALL RD, SUITE 404, ELGIN, IL 60123
(224) 783-8129
(224) 783-2852
Mailing address
1160 SILVER LAKE RD, CARY, IL 60013-1658
(847) 462-3120
(847) 669-7590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003573
IL
363A00000X
Physician Assistant
PA20299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003573
STATE LICENSE
IL
Enumeration date
04/08/2009
Last updated
10/19/2018
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