Hanson, Colleen M.
Hanson, Colleen M. is an individual health care provider with primary practice located at 6040 State Route 53 Ste B , Lisle IL 60532-3394. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hanson, Colleen M. can be contacted via phone (630) 524-4000.Contact Information
Primary practice address
6040 State Route 53 Ste B
Lisle IL 60532-3394
Phone: (630) 524-4000
Fax: (630) 524-2311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149010328 | Illinois |
Profile Details
| NPI number | 1265657670 |
|---|---|
| LBN Legal business name | Hanson, Colleen M. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Feb 1st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265657670 | NPPES |
| Illinois | Other | BCBS | 022-27624 |
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