Healthcare Provider Details

I. General information

NPI: 1851215529
Provider Name (Legal Business Name): ROBERT M HANSON PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 KENNETH AVE
SKOKIE IL
60076-3820
US

IV. Provider business mailing address

7500 KENNETH AVE # 507
SKOKIE IL
60076-3820
US

V. Phone/Fax

Practice location:
  • Phone: 347-204-0153
  • Fax:
Mailing address:
  • Phone: 347-204-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROBERT M HANSON
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 347-204-0153