Individual
DR. TERRY LOUIS HANUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 WAUKEGAN RD, SUITE 213, GLENVIEW, IL 60025-2100
(847) 998-5556
(847) 998-9156
Mailing address
1500 WAUKEGAN RD, SUITE 213, GLENVIEW, IL 60025-2100
(847) 998-5556
(847) 998-9156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036065381
IL
Other
Enumeration date
07/08/2006
Last updated
10/15/2019
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