Healthcare Provider Details

I. General information

NPI: 1467235127
Provider Name (Legal Business Name): AMY MARIE HANSEN-SCHWINGHAMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S LOGAN ST
LENA IL
61048-9566
US

IV. Provider business mailing address

6348 N MILWAUKEE AVE # 390
CHICAGO IL
60646-3728
US

V. Phone/Fax

Practice location:
  • Phone: 815-990-9883
  • Fax: 815-599-1371
Mailing address:
  • Phone: 847-235-6130
  • Fax: 847-235-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number870359
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-84568042
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17955-33
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209032722
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13466
License Number StateMN
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA182536
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: