Diesawit T Hansom, FNP
NPI #1689391633 in Libertyville, Illinois
Provider Information
- NPI Number
- 1689391633
- Entity Type
- Individual
- Name
- Diesawit T Hansom, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Oct 20, 2022
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 1366 S MILWAUKEE AVE
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-3795
- Phone
- (847) 236-0323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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