THOMAS HAROLD HANSEN

NORTH CHICAGO, IL
NPI1619948684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA1506)
Enumeration Date2006-01-30
Last Update Date2009-08-13
Business Address
Mr. THOMAS HAROLD HANSEN Physician Assistant
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 224-610-3874
Mailing Address
Mr. THOMAS HAROLD HANSEN Physician Assistant
1030 WAUKEGAN RD
DEERFIELD, IL 60015-3035
Phone number: 224-610-3874
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