Individual
DR. DAVID ROBERT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
900 NORTH SHORE DR., SUITE 200, LAKE BLUFF, IL 60044-2225
(847) 295-6141
(888) 765-7036
Mailing address
900 NORTH SHORE DR., SUITE 200, LAKE BLUFF, IL 60044-2225
(847) 295-6141
(888) 765-7036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932087
BCBC
IL
Enumeration date
11/22/2006
Last updated
02/15/2017
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