Healthcare Provider Details

I. General information

NPI: 1144154964
Provider Name (Legal Business Name): HANNAH EUCKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WILLOW HILL DR
SHERMAN IL
62684-9769
US

IV. Provider business mailing address

16 WILLOW HILL DR
SHERMAN IL
62684-9769
US

V. Phone/Fax

Practice location:
  • Phone: 815-566-5378
  • Fax: 217-670-2582
Mailing address:
  • Phone: 815-566-5378
  • Fax: 217-670-2582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: