Healthcare Provider Details

I. General information

NPI: 1457283988
Provider Name (Legal Business Name): HANNAH CHRISTINE MCGUIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 W GALENA BLVD STE 8-316
AURORA IL
60506-3255
US

IV. Provider business mailing address

1811 RURAL ST APT 3
ROCKFORD IL
61107-3277
US

V. Phone/Fax

Practice location:
  • Phone: 630-661-7253
  • Fax:
Mailing address:
  • Phone: 815-298-6540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberM26032300632
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: