Individual
MS. MARY F HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527-6423
(630) 832-1775
(630) 832-3078
Mailing address
1333 BURR RIDGE PKWY, SUITE 200, BURR RIDGE, IL 60527-6423
(630) 832-1775
(630) 832-3078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009527
IL
363L00000X
Nurse Practitioner
2650
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41264000
—
WI
Enumeration date
05/15/2006
Last updated
11/21/2016
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