Individual
STEPHEN B HANAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-5620
(312) 695-2310
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036057399
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057399
—
IL
Enumeration date
12/18/2006
Last updated
05/23/2017
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