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NPI Code Detail

MEDICARE: MANSEERAT KAUR HANS MD

MEDICARE: MANSEERAT KAUR HANS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician125.083908IL

General Provider Information

NPI Number : 1568206142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANSEERAT KAUR HANS MD
Provider Business Mailing Address
First Line : 1901 S CALUMET AVE UNIT 1306
Second Line :
City : CHICAGO
State : IL
Zip : 60616-6009
Country : US
Telephone Number : 971-377-9220
Fax Number :
Provider Business Practice Location Address
First Line : 7531 S STONY ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60649-3993
Country : US
Telephone Number : 773-947-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/19/2024

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