Individual
THERESE HANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,CNP
Contact information
Practice address
2601 DEMPSTER ST, PARK RIDGE, IL 60068-1155
(847) 825-4058
(847) 825-4060
Mailing address
2601 DEMPSTER ST, PARK RIDGE, IL 60068-1155
(630) 832-6935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041237818
IL
Other
Enumeration date
07/17/2006
Last updated
09/08/2008
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