Individual
WHITNEY SUSANNE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACDNP
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209027554
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209.027554
IL
Other
Enumeration date
10/09/2023
Last updated
10/30/2024
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