Individual
DR. DAVID HERBERT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759
Mailing address
4 KERI LN, BURR RIDGE, IL 60527-6865
(630) 887-8124
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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