Healthcare Provider Details

I. General information

NPI: 1952646796
Provider Name (Legal Business Name): HANUL FAMILY ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 N KEDZIE AVE
CHICAGO IL
60625-4914
US

IV. Provider business mailing address

5008 N KEDZIE AVE
CHICAGO IL
60625-4914
US

V. Phone/Fax

Practice location:
  • Phone: 773-478-8851
  • Fax: 773-478-8552
Mailing address:
  • Phone: 773-478-8851
  • Fax: 773-478-8552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: IRENE J SOHN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 773-478-8851