Individual
JAMES B HANSEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 280-7700
Mailing address
1520 N WELLS ST APT 3R, CHICAGO, IL 60610-6274
(312) 371-4767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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