MR. Thomas Harold Hansen, PHYSICIAN ASSISTANT
NPI #1619948684 in North Chicago, Illinois
Provider Information
- NPI Number
- 1619948684
- Entity Type
- Individual
- Name
- MR. Thomas Harold Hansen, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jan 30, 2006
- Last Updated
- Aug 13, 2009
Practice Location
- Address
- 3001 GREEN BAY RD
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60064-3048
- Phone
- (224) 610-3874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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