Healthcare Provider Details

I. General information

NPI: 1023959897
Provider Name (Legal Business Name): JUAN PABLO ACHI HANNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 W. TAYLOR STREET UNIVERSITY OF ILLINOIS HOSPITAL & CLINICS (UI HEALTH)
CHICAGO IL
60612
US

IV. Provider business mailing address

1464 S MICHIGAN AVE APT 2105
CHICAGO IL
60605-3639
US

V. Phone/Fax

Practice location:
  • Phone: 866-600-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125.088353
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: