Individual
TIMOTHY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
150 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-7568
(312) 444-1145
(312) 444-1145
Mailing address
2309 ARQUILLA DR, DOWNERS GROVE, IL 60515-4255
(317) 979-4231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003376
IL
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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