Healthcare Provider Details
I. General information
NPI: 1346911609
Provider Name (Legal Business Name): HNHC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2021
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 TRANSAM PLAZA DR FL 3 STE 350
OAKBROOK TERRACE IL
60181-4822
US
IV. Provider business mailing address
1 TRANSAM PLAZA DR STE 350
OAKBROOK TERRACE IL
60181-4828
US
V. Phone/Fax
- Phone: 312-809-8099
- Fax: 413-570-4957
- Phone: 708-320-8278
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
ALONDRA
CASTILLO
Title or Position: OFFICE MANAGER
Credential:
Phone: 312-809-8099