Individual
DR. KATHLEEN MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7212 EDGEBROOK LN, HANOVER PARK, IL 60133
(630) 837-3700
(630) 837-3849
Mailing address
7212 EDGEBROOK LN, HANOVER PARK, IL 60133
(630) 837-3700
(630) 837-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102598
—
IL
Enumeration date
11/03/2005
Last updated
07/08/2007
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