Healthcare Provider Details

I. General information

NPI: 1043527914
Provider Name (Legal Business Name): HANNAH E KUHN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 W SHAKESPEARE AVE
CHICAGO IL
60647-3316
US

IV. Provider business mailing address

200 W MENOMONEE ST UNIT 10
CHICAGO IL
60614-5313
US

V. Phone/Fax

Practice location:
  • Phone: 815-382-4474
  • Fax:
Mailing address:
  • Phone: 815-382-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198.000896
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: