MEDICARE: ADAM HAHN LMT

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	225700000X	Massage Therapist	227020442	IL

General Provider Information

NPI Number	:	1841049830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM HAHN LMT

Provider Business Mailing Address
First Line	:	1111 W MADISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2092
Country	:	US
Telephone Number	:	773-234-1032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 W MADISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2092
Country	:	US
Telephone Number	:	773-234-1032
Fax Number	:

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

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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