Donald Hansen, OWNER
Donald Hansen, OWNER is a Clinical Medical Laboratory in Bolingbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
541 Spruce RdBolingbrook, IL 60440-2504
Phone: (630) 750-7378
Fax: (630) 929-8057
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 14D2099042 (IL) |
|---|
Record details
| NPI number | 1720452709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2015 |
| Last updated in NPPES | November 13, 2015 |
| Mailing address | 541 Spruce Rd, Bolingbrook, IL 60440-2504 |
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