Search › Illinois › 235Z00000X
Nicole Hansen
NPI 1639891526 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1514 S 9th Ave
Maywood, IL 60153 - Phone
- (708) 450-2009
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois