Healthcare Provider Details

I. General information

NPI: 1427636703
Provider Name (Legal Business Name): KAREN SUE HANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 W. NEW TRAIL COURT
AURORA IL
60506
US

IV. Provider business mailing address

309 W. NEW INDIAN TRAIL COURT
AURORA IL
60506-2411
US

V. Phone/Fax

Practice location:
  • Phone: 630-966-4000
  • Fax:
Mailing address:
  • Phone: 630-966-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: