Individual
MR. GEOFFREY A HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7620 DEMPSTER ST, MORTON GROVE, IL 60053-1823
(847) 604-3444
Mailing address
7620 DEMPSTER ST, MORTON GROVE, IL 60053-1823
(847) 604-3444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
Y
—
Enumeration date
05/21/2020
Last updated
05/21/2020
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