Healthcare Provider Details

I. General information

NPI: 1184027005
Provider Name (Legal Business Name): JILLIAN MARIE HANGER NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2014
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

8314 OLD OAK DR
DEMOTTE IN
46310-9807
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-1400
  • Fax:
Mailing address:
  • Phone: 219-313-7453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number28164886A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209-011962
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number71005157A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: