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Individual

MS. CONSTANCE LYNN HANNINEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
415 E GOLF RD STE 102, ARLINGTON HEIGHTS, IL 60005-4049
(847) 354-7565
Mailing address
415 E GOLF RD STE 102, ARLINGTON HEIGHTS, IL 60005-4049
(847) 354-7565

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.003726
IL

Other

Enumeration date
11/29/2010
Last updated
11/29/2010
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