Provider Demographics
NPI:1164609749
Name:HANSON, BRITT ERIKA (DO)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:ERIKA
Last Name:HANSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 PARK AVE. WEST
Mailing Address - Street 2:KELLOGG CANCER CENTER
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2556
Mailing Address - Country:US
Mailing Address - Phone:847-480-3800
Mailing Address - Fax:847-480-3805
Practice Address - Street 1:757 PARK AVE. WEST
Practice Address - Street 2:KELLOGG CANCER CENTER
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035
Practice Address - Country:US
Practice Address - Phone:847-480-3800
Practice Address - Fax:847-480-3805
Is Sole Proprietor?:No
Enumeration Date:2008-01-26
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036119698207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology