Healthcare Provider Details

I. General information

NPI: 1306530936
Provider Name (Legal Business Name): HANNAH BELLE LANCASTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 09/20/2023
Certification Date: 06/09/2023
Deactivation Date: 06/09/2023
Reactivation Date: 09/20/2023

III. Provider practice location address

1325 N HIGHLAND AVE STE 104
AURORA IL
60506-1449
US

IV. Provider business mailing address

1325 N HIGHLAND AVE STE 104
AURORA IL
60506-1449
US

V. Phone/Fax

Practice location:
  • Phone: 630-859-2222
  • Fax:
Mailing address:
  • Phone: 630-859-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: