Suzanne M Hanson, DT
Specialist in Glen Ellyn, IL. Individual provider (NPI-1).
NPI number1982805651
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982805651
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Suzanne M Hanson
- Credential
- DT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
552 Wilson AveGlen Ellyn, IL 60137-6222
Phone 630-858-5520
Mailing address
552 Wilson AveGlen Ellyn, IL 60137-6222
Phone 630-858-5520
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