Healthcare Provider Details

I. General information

NPI: 1396621660
Provider Name (Legal Business Name): HANA LAHNICHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 N MICHIGAN AVE
CHICAGO IL
60611-2203
US

IV. Provider business mailing address

5852 DONNELLY CIR
ORLANDO FL
32821-7662
US

V. Phone/Fax

Practice location:
  • Phone: 312-475-9855
  • Fax:
Mailing address:
  • Phone: 407-701-4614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046012046
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: