Healthcare Provider Details

I. General information

NPI: 1518799105
Provider Name (Legal Business Name): HANNAH MAGDALEN WYLER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

1710 BRUMMEL ST
EVANSTON IL
60202-3738
US

V. Phone/Fax

Practice location:
  • Phone: 312-274-7708
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.030272
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: