Michael Joseph Hanna, M.S.ED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

100602039 Issued in IL

Practice address

430 S Michigan Ave
RM 362
Chicago, IL 60605-1315

Phone

(312) 341-4153

Fax

(312) 341-3522

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1043336852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 N BROADWAY ST APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134855",
            "telephone_number": "515-890-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MICHIGAN AVE",
            "address_2": "RM 362",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051315",
            "telephone_number": "312-341-4153",
            "fax_number": "312-341-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S.ED, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "100602039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATC",
            "identifier": "100602039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Hanna, D.D.S.
• Emmanuelle Hanna
• George Hanna, O.D.
• Lindsey Hanna, PT DPT
• Lindsey Elizabeth Hanna
• Michael Lionel Hanna Jr.
• Michael Marcus Hanna, M.D.
• Rania Hanna, PHARMACIST
• Rewais Hanna
• Robin Hanna, MD

• Athletic Trainer in Chicago, IL
• Providers in Chicago, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.