SearchWisconsin1223P0221X

Bianca Hassoun

NPI 1760902654 · on the registry since 2017 · sole proprietor

Practice

Address
7117 Green Bay Rd
Kenosha, WI 53142
Phone
(262) 942-7000
Clinicians at this address
16

Additional practice sites

  • 10155 Washington Ave, Sturtevant, WI

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-07

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 Wisconsin