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Individual

MR. DAVID EDWARD HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., L.C.P.C, R.N.

Contact information

Practice address
121 S WILKE RD, SUITE 232, ARLINGTON HEIGHTS, IL 60005-1533
(847) 873-0052
(847) 873-0052
Mailing address
121 S WILKE RD, SUITE 232, ARLINGTON HEIGHTS, IL 60005-1533
(847) 873-0052
(847) 873-0052

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.003760
IL
101YP2500X
Professional Counselor
Primary
180003760
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
041206221
IL

Other

Enumeration date
02/16/2007
Last updated
11/24/2010
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