Individual provider · Type 1 NPI

Michael Lionel Hanna Jr.

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1083417455 Active

Practice location

1740 W Taylor Street
Chicago, IL 60612

Call (866) 600-2273 Map

Fax (312) 996-3050

Mailing address

343 South Dearborn Street, Fisher Building Apartments (apartment 1711)
Chicago, IL 60604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X125.086443 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083417455

Michael Lionel Hanna Jr.'s National Provider Identifier is 1083417455, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Aug 14, 2025.