Dima Hanna

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036119286 Issued in IL

Legal business name

DIMA HANNA

Practice address

6605 Maple St
Morton Grove, IL 60053-1425

Phone

(847) 778-6572

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dima Hanna, M.D.NPI 1710041892

Title

Physician

Phone

(847) 778-6572

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dima R Hanna, M.D.

  • Family Medicine Physician
  • Morton Grove, IL
  • NPI 1710041892
  NPD (past) Authorized official
• Jenna Spaeth, PA-C

  • Medical Physician Assistant
  • Long Grove, IL
  • NPI 1669857512
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1356577894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763000",
            "telephone_number": "847-778-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 MAPLE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531425",
            "telephone_number": "847-778-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMA HANNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "DIMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-778-6572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036119286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Dickie, MD
• Amy Dillon
• Michael James Dimarco, MD
• Zenong Ding, L.AC.
• Christen Dinkha, D,D.S
• Duncan Dinkha, MD
• Divine Eye Care Inc. (Our Vision Center)

• Primary Care Clinic/Center in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.