Organization
HANSAMSSP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIRAG PATEL (MANAGER)
(312) 933-5719
Entity
Organization
Contact information
Practice address
415 DAVIS LN, WALTON, KY 41094-3522
(312) 933-5719
(888) 664-1191
Mailing address
746 LOCUST RD, WILMETTE, IL 60091-2240
(312) 933-5719
(888) 664-1191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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