Individual
DR. GREGORY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MSC, MPH
Contact information
Practice address
225 E. CHICAGO AVENUE, BOX 51, DIVISION OF NEUROLOGY, ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, CHICAGO, IL 60611
(312) 227-3550
(312) 227-9642
Mailing address
653 HINMAN AVE APT 2N, EVANSTON, IL 60202-4439
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
125-060756
IL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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