Provider Demographics
NPI:1679524987
Name:MICH, HANNAH B (CPT, MED, PES)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:B
Last Name:MICH
Suffix:
Gender:F
Credentials:CPT, MED, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E CONGRESS PKWY UNIT 932
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60039-3440
Mailing Address - Country:US
Mailing Address - Phone:815-201-5836
Mailing Address - Fax:866-508-7769
Practice Address - Street 1:601 DEERFIELD PKWY
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-7500
Practice Address - Country:US
Practice Address - Phone:815-201-5836
Practice Address - Fax:866-508-7769
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach