MEDICARE: HANNA IRENA WLOCH

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1053263038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA IRENA WLOCH

Provider Business Mailing Address
First Line	:	800 AUSTIN ST STE 312
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-3439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 AUSTIN ST STE 312
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-3439
Country	:	US
Telephone Number	:	847-868-8664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ HANNA IRENA WLOCH ” Practice Location

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