Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 036119698 | IL |
NPI | 1164609749 |
---|---|
Provider Name | Britt Erika Hanson |
First Address | Highland Park, IL 60035-2556 |
Second Address | Highland Park, IL 60035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2008 |
Last Update Date | 16/02/2021 |