Individual
DR. JAMES WESLEY HANSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1281 W SPRING ST, SOUTH ELGIN, IL 60177-2990
(847) 622-0600
Mailing address
1425 S 10TH ST, ST CHARLES, IL 60174-3824
(864) 784-5820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
091.035562
IL
Other
Enumeration date
06/07/2024
Last updated
10/29/2024
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