IndividualActive
David Hansen, MD
NPI 1689784878 · Internal Medicine Physician · Roscoe, IL
Provider details
- NPI number
- 1689784878
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-062691 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5000 Prairie Rose Dr
Roscoe, IL 61073-7792
Phone: (815) 971-2000
Fax: (815) 971-9417
Approximate (ZIP-level) locationGet directions
Mailing address
5000 Prairie Rose Dr
Roscoe, IL 61073-7792
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2010-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.