Hanson, David Robert

Hanson, David Robert is an individual health care provider with primary practice located at 900 North Shore Dr. Suite 200, Lake Bluff IL 60044-2225. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hanson, David Robert can be contacted via phone (847) 295-6141.

Contact Information

Primary practice address
900 North Shore Dr. Suite 200 Lake Bluff IL 60044-2225
Phone: (847) 295-6141
Fax: (888) 765-7036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006160 Illinois

Profile Details

NPI number 1225103401
LBN Legal business name Hanson, David Robert
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Feb 15th, 2017 - about 9 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 1225103401 NPPES
Illinois Other 4932087 BCBC

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