Individual
AMY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-2640
(708) 684-3796
Mailing address
1890 SILVER CROSS BLVD, STE 570, NEW LENOX, IL 60451-9606
(708) 684-2640
(708) 684-3796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010995
IL
Other
Enumeration date
01/29/2014
Last updated
05/09/2017
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