Individual
EMILY NOELLE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 W PRATT BLVD, CHICAGO, IL 60645-4125
(773) 467-3700
Mailing address
3145 W PRATT BLVD, CHICAGO, IL 60645-4125
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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