Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diesawit T Hansom, FNP

Individual provider Family Nurse Practitioner · NPI 1689391633

Diesawit T Hansom, FNP is a Nurse Practitioner in Libertyville, Illinois. Qualified in 2022, 4 years ago. Practices with Your Healthcare Source PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1366 S Milwaukee Ave
Libertyville, IL 60048-3795
Phone: (847) 236-0323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277.004265 (IL)

Record details

NPI number1689391633
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 20, 2022
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Your Healthcare Source Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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