Individual
DR. COLLIN R HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-7950
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.074612
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036.163268
IL
208000000X
Pediatrics Physician
125.074612
IL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
036.163268
IL
Other
Enumeration date
03/28/2019
Last updated
09/11/2024
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