Healthcare Provider Details

I. General information

NPI: 1518822840
Provider Name (Legal Business Name): HANNAH LOU ANN HUNZINGER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W PARK ST
URBANA IL
61801-2334
US

IV. Provider business mailing address

420 N MAIN ST
DIETERICH IL
62424-1034
US

V. Phone/Fax

Practice location:
  • Phone: 217-337-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.016506
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: