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Travis Hanson, PharmD

Pharmacist, Pediatrics in Chicago, IL. Individual provider (NPI-1).

NPI number1104774009
StatusActive
Last updated in NPPESMar 18, 2026

Details

NPI
1104774009
Entity type
Individual (NPI-1)
Name
Travis Hanson
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 18, 2026
Certification date
Mar 18, 2026
Last updated
Mar 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0200X Pharmacist, Pediatrics051.306434ILYes

Practice location

833 S Wood St
Chicago, IL 60612-7229

Phone 217-621-7046

Mailing address

833 S Wood St
Chicago, IL 60612-7229

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