Heather Hanson

NPI #1265473490 in Freeport, Illinois

Provider Information

NPI Number: 1265473490
Entity Type: Individual
Name: Heather Hanson
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Enumeration Date: Jun 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 421 W EXCHANGE ST
City: Freeport
State: Illinois
ZIP Code: 61032-4030
Phone: (815) 599-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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