MEDICARE: MRS. AMY MARIE HANSEN-SCHWINGHAMER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	870359	NV
2	363LF0000X	Family Nurse Practitioner	53-84568042	KS
3	363LF0000X	Family Nurse Practitioner	17955-33	WI
4	363LF0000X	Family Nurse Practitioner	209032722	IL
5	363LF0000X	Family Nurse Practitioner	13466	MN
6	363LF0000X	Family Nurse Practitioner	A182536	IA

General Provider Information

NPI Number	:	1467235127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY MARIE HANSEN-SCHWINGHAMER NP

Provider Business Mailing Address
First Line	:	6348 N MILWAUKEE AVE # 390
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-3728
Country	:	US
Telephone Number	:	847-235-6130
Fax Number	:	847-235-6135

Provider Business Practice Location Address
First Line	:	1010 S LOGAN ST
Second Line	:
City	:	LENA
State	:	IL
Zip	:	61048-9566
Country	:	US
Telephone Number	:	815-990-9883
Fax Number	:	815-599-1371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	02/10/2026

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