Healthcare Provider Details

I. General information

NPI: 1225830201
Provider Name (Legal Business Name): HANNAH HUTCHINSON
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3059 W 26TH ST
CHICAGO IL
60623-4131
US

IV. Provider business mailing address

3059 W 26TH ST
CHICAGO IL
60623-4131
US

V. Phone/Fax

Practice location:
  • Phone: 712-266-5985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: