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Contact Information

JARED P HANSEN
10 S 551 MADISON ST
BURR RIDGE, IL60527
 Phone: 217-766-3205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JARED P HANSEN · (Male)

NPI Number 1033433701
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2010
Last updated 07/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.126813
Hospital affiliation(s)
  • SILVER CROSS HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    1900 SILVER CROSS BLVD
    NEW LENOX, IL 60451
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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