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NPI Code Detail

MEDICARE: HANNA ROSE LAPORTE PA-C

MEDICARE: HANNA ROSE LAPORTE PA-C
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
1363A00000XPhysician Assistant085.011484IL
2363A00000XPhysician Assistant10004942AIN

General Provider Information

NPI Number : 1659196491
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNA ROSE LAPORTE PA-C
Provider Business Mailing Address
First Line : PO BOX 735263
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 SHUMAN BLVD STE 700
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8422
Country : US
Telephone Number : 630-339-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 03/24/2026

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Directions to “ HANNA ROSE LAPORTE PA-C” Practice Location

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