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NPI Code Detail

MEDICARE: HANNAH KEISKER LCPC, MED

MEDICARE:   HANNAH  KEISKER  LCPC, MED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorIL

General Provider Information

NPI Number : 1013841949
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH KEISKER LCPC, MED
Provider Business Mailing Address
First Line : 1803 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5105
Country : US
Telephone Number : 872-225-0331
Fax Number :
Provider Business Practice Location Address
First Line : 1803 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5105
Country : US
Telephone Number : 312-620-0408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ HANNAH KEISKER LCPC, MED” Practice Location

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