HANSON COURTNEY - NPI: 1093289969


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1093289969
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: COURTNEY
Provider Last Name: HANSON
Provider Name Prefix Text: MRS.
Provider Gender Code: F
Provider Credential Text: PA-C
Provider Enumeration Date: 01/14/2019
Last Update Date: 01/14/2019

Business Address:

Provider First Line Business Mailing Address: 344 E CENTRAL AVE
Provider Business Mailing Address City Name: LOMBARD
Provider Business Mailing Address State Name: IL
Provider Business Mailing Address Postal Code: 60148
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 7346046341

Mailing Address:

Provider First Line Business Practice Location Address: 1775 DEMPSTER STREET
Provider Second Line Business Practice Location Address: 1 SOUTH BOX # 56
Provider Business Practice Location Address City Name: PARK RIDGE
Provider Business Practice Location Address State Name: IL
Provider Business Practice Location Address Postal Code: 60068
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 8477235575

Primary Taxonomy:

Taxonomy Code: 363AS0400X
License Number: 085006911
License State: IL
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Physician Assistant
Specialization: Surgical
Definition: Definition to come...
Source: The National Provider Identifier

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