Donald Hansen, OWNER
NPI #1720452709 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1720452709
- Entity Type
- Individual
- Name
- Donald Hansen, OWNER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Medical Laboratory
- Credential
- OWNER
- Enumeration Date
- Nov 13, 2015
- Last Updated
- Nov 13, 2015
Practice Location
- Address
- 541 SPRUCE RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2504
- Phone
- (630) 750-7378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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