Individual
DONALD JOSEPH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMCA-4709
Contact information
Practice address
541 SPRUCE RD, BOLINGBROOK, IL 60440-2504
(630) 880-9543
(630) 596-1404
Mailing address
541 SPRUCE RD, BOLINGBROOK, IL 60440-2504
(630) 880-9543
(630) 596-1404
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
AMCA-4709
IL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
07/14/2018
Last updated
01/20/2019
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