Timothy Hanna, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096003376 Issued in IL

Practice address

150 N Michigan Ave Ste 1400
Chicago, IL 60601-7568

Phone

(312) 444-1145

Fax

(312) 444-1145

NPI assigned

Jan 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1508364597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 ARQUILLA DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154255",
            "telephone_number": "317-979-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MICHIGAN AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017568",
            "telephone_number": "312-444-1145",
            "fax_number": "312-444-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "TIMOTHY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096003376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lionel Hanna Jr.
• Michael Marcus Hanna, M.D.
• Rania Hanna, PHARMACIST
• Rewais Hanna
• Robin Hanna, MD
• Wasim Hanna
• Hannah Bailey, PLLC
• Hannah Carlson LCSW PLLC
• Hannah Dailey Marriage and Family Therapy LLC
• Hannah Mason, LCSW, PLLC

• 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 Jan 25, 2018; 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.