Individual
MRS. COURTNEY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611-2595
(312) 815-9660
Mailing address
344 E CENTRAL AVE, LOMBARD, IL 60148-3903
(734) 604-6341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006911
IL
Other
Enumeration date
01/14/2019
Last updated
10/12/2020
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