Individual
BAILEY R HANSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
259 E ERIE ST STE 1600, CHICAGO, IL 60611-3111
(312) 695-5620
(312) 695-2778
Mailing address
259 E ERIE ST STE 1600, CHICAGO, IL 60611-3111
(312) 695-5620
(312) 695-2778
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
041451153
IL
363L00000X
Nurse Practitioner
Primary
209025490
IL
363LF0000X
Family Nurse Practitioner
209.025490
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
UIC
IL
Enumeration date
04/13/2022
Last updated
09/19/2023
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