Individual
MARIA R HANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 955, CHICAGO, IL 60612-3841
(312) 942-7030
Mailing address
1725 W HARRISON ST, SUITE 955, CHICAGO, IL 60612-3841
(312) 942-7030
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-107921
IL
Other
Enumeration date
05/06/2006
Last updated
05/18/2009
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