Individual provider · Type 1 NPI
Constance Lynn Hanninen, P.A.
Medical Physician Assistant · Arlington Heights, IL
NPI number
1134421092
Active
Practice location
415 E Golf Rd Ste 102
Arlington Heights, IL 60005-4049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085.003726 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1134421092
Constance Lynn Hanninen, P.A.'s National Provider Identifier is 1134421092, issued on Nov 29, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Arlington Heights, IL. The record was last updated on Nov 29, 2010.