Individual
SUSAN HOLLAND HANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
222 S GREENLEAF ST, SUITE 109, GURNEE, IL 60031-5705
(847) 249-0167
(847) 249-0717
Mailing address
473 N HOWARD AVE, ELMHURST, IL 60126-2022
(630) 533-3341
(847) 249-0717
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000311
IL
231HA2400X
Assistive Technology Practitioner Audiologist
147-000311
IL
231HA2500X
Assistive Technology Supplier Audiologist
147-000311
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004921745
BCBS
IL
Enumeration date
03/01/2007
Last updated
07/18/2008
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