Hannan, Mary F

Hannan, Mary F is an individual health care provider with primary practice located at 1333 Burr Ridge Pkwy Suite 200, Burr Ridge IL 60527-6423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hannan, Mary F can be contacted via phone (630) 832-1775.

Contact Information

Primary practice address
1333 Burr Ridge Pkwy Suite 200 Burr Ridge IL 60527-6423
Phone: (630) 832-1775
Fax: (630) 832-3078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2650 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209009527 Illinois

Profile Details

NPI number 1922059757
LBN Legal business name Hannan, Mary F
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922059757 NPPES
Wisconsin MEDICAID 41264000

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