Active NPI
Dima R Hanna, M.D.
- Family Medicine Physician
- Morton Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36060
- Practice address
- 6605 Maple St
Morton Grove, IL 60053-1425 - Phone
- (623) 334-8670
- Fax
- (623) 334-8675
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36060 | AZ | Primary |
Addresses
Primary practice location
6605 Maple St
Morton Grove, IL 60053-1425
Mailing address
17218 N 72ND Dr
100
Glendale, AZ 85308-8562
Phone (623) 334-8670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4726 W Oakton St
Skokie, IL 60076-3000
Phone (847) 674-0455
8301 Skokie Blvd
Skokie, IL 60077-2546
Phone (847) 674-0455
Hospital & facility affiliations
- Americhoice Health Care, Inc
- Northshore University Healthsystem - Evanston Hospital
- Swedish Hospital
- Advocate Lutheran General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skokie Family Clinic P.C. | Current | Accepting new patients | |
| Dima Hanna | Past | Accepting new patients |
Locations
8301 Skokie Blvd
Skokie, IL 60077
Phone (847) 674-0455
4726 Oakton St
Skokie, IL 60076
Phone (847) 674-0455
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Skokie, IL
- NPI 1114250875
-
- Primary Care Clinic/Center
- Morton Grove, IL
- NPI 1356577894
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- Home Health Agency
- Northbrook, IL
- NPI 1518297878
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1710041892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17218 N 72ND DR",
"address_2": "100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088562",
"telephone_number": "623-334-8670",
"fax_number": "623-334-8675"
},
{
"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": "623-334-8670",
"fax_number": "623-334-8675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "DIMA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "36060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.