Individual provider · Type 1 NPI

Hannah Truckenbrod

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

NPI number 1104796077 Active

Practice location

1854 Sherman Ave
Evanston, IL 60201-3795

Call (847) 565-6412 Map

Fax (224) 714-1740

Mailing address

PO Box 5213
Evanston, IL 60204-5213

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1104796077

Hannah Truckenbrod's National Provider Identifier is 1104796077, issued on Nov 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evanston, IL. The record was last updated on Nov 6, 2025.