Individual
DR. JEFFREY JOJO HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
6345 W 79TH ST, BURBANK, IL 60459-1133
(312) 609-0300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302041500
MI
207R00000X
Internal Medicine Physician
Primary
036-164289
IL
208D00000X
General Practice Physician
70435
MN
Other
Enumeration date
04/20/2020
Last updated
09/28/2023
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