Individual
PAMELA A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1315 MEMORIAL DR, MENDOTA, IL 61342-1447
(815) 539-1422
(815) 539-1436
Mailing address
1315 MEMORIAL DR, MENDOTA, IL 61342-1447
(815) 539-1422
(815) 539-1436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000486
IL
Other
Enumeration date
11/24/2006
Last updated
04/13/2009
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