Individual
MRS. SUZANNE M HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
552 WILSON AVE, GLEN ELLYN, IL 60137-6222
(630) 858-5520
Mailing address
552 WILSON AVE, GLEN ELLYN, IL 60137-6222
(630) 858-5520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
About Stedi
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