Healthcare Provider Details

I. General information

NPI: 1447178835
Provider Name (Legal Business Name): HANNAH E RIEKER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 STATION DR
OSWEGO IL
60543-5008
US

IV. Provider business mailing address

308 BERRYWOOD LN
OSWEGO IL
60543-7582
US

V. Phone/Fax

Practice location:
  • Phone: 331-216-1080
  • Fax:
Mailing address:
  • Phone: 815-671-1627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026017699
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: