Individual
CALLIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3944 N WESTERN AVE, CHICAGO, IL 60618-3736
(773) 279-7600
Mailing address
437 W DIVISION ST APT 405, CHICAGO, IL 60610-1721
(507) 202-6260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.302478
IL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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