Basic Information
| Provider Information | |||||||||
| NPI: | 1649763186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHNUCKER | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | JOSEPHINE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6238 N BROADWAY ST # 3N | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606601903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5159917536 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5215 N CALIFORNIA AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606257014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7739891609 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2018 | ||||||||
| LastUpdateDate: | 06/10/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 178.013935 | IL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.