Healthcare Provider Details

I. General information

NPI: 1396876348
Provider Name (Legal Business Name): JOSEPH J. HANSEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 WAUKEGAN RD SUITE 200
GLENVIEW IL
60025-2100
US

IV. Provider business mailing address

1500 WAUKEGAN RD SUITE 200
GLENVIEW IL
60025-2100
US

V. Phone/Fax

Practice location:
  • Phone: 847-998-1234
  • Fax: 847-998-1243
Mailing address:
  • Phone: 847-998-1234
  • Fax: 847-998-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: