Individual
MS. KATHLEEN E HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(773) 278-2000
(630) 734-1560
Mailing address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(773) 278-2000
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003582
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003582
STATE LICENSE
IL
Enumeration date
09/24/2009
Last updated
09/24/2009
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