Healthcare Provider Details

I. General information

NPI: 1003720996
Provider Name (Legal Business Name): HANNAH ISRAEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 W ADAMS ST STE 400C
CHICAGO IL
60606-5142
US

IV. Provider business mailing address

318 W ADAMS ST STE 400C
CHICAGO IL
60606-5142
US

V. Phone/Fax

Practice location:
  • Phone: 773-819-0021
  • Fax:
Mailing address:
  • Phone: 773-819-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: