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NPI Code Detail

MEDICARE: HANNAH L GREENING MS CCC SLP

MEDICARE:   HANNAH L GREENING  MS CCC SLP
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
1235Z00000XSpeech-Language Pathologist146014917IL

General Provider Information

NPI Number : 1770065690
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH L GREENING MS CCC SLP
Provider Business Mailing Address
First Line : 1700 N NORTH PARK AVE APT 5B
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5692
Country : US
Telephone Number : 708-567-0257
Fax Number :
Provider Business Practice Location Address
First Line : 735 W DIVERSEY PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2337
Country : US
Telephone Number : 773-348-4055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2018
Last Update Date : 02/23/2023

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Directions to “ HANNAH L GREENING MS CCC SLP” Practice Location

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