DR. MICHAEL MARCUS HANNA (NPI# 1487810842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487810842 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MARCUS HANNA |
| Credential | M.D. |
| Practice Address |
1653 W Congress Pkwy Chicago IL 60612-3833 |
| Mailing Address |
1615 S Norbury Ave Lombard IL 60148-6182 |
| Practice Telephone | 8476823967 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2012-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
036.126584 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649714247 | Michael Hanna | Dentist | 21230 Stockton Pass Rd, Walnut, CA 91789-5109 | 2016-12-15 |
| 1770974347 | Michael Stuart Hanna | Internal Medicine | 530 Riverview Road, Swarthmore, PA 19081 | 2015-02-18 |
| 1790010825 | Michael Paul Hanna | Physician Assistant | 1951 Clements Ferry Rd, Charleston, SC 29492-8322 | 2009-10-07 |
| 1578681904 | Michael David Hanna | Marriage & Family Therapist | 1774 N Glassell St, Orange, CA 92865-4310 | 2007-03-26 |
| 1043336852 | Michael Joseph Hanna | Specialist/Technologist | 430 S Michigan Ave, Rm 362, Chicago, IL 60605-1315 | 2007-03-22 |
| 1356435549 | Michael J Hanna | Dentist | 1229 Silver Ln, Mc Kees Rocks, PA 15136-1063 | 2006-10-03 |
| 1336242395 | Michael Allen Hanna | Dentist | 204 N Adams St, Knob Noster, MO 65336 | 2006-09-06 |
| 1518962927 | Michael Hanna | Dentist | 2533 Via Campo, Montebello, CA 90640-1806 | 2005-06-14 |
| 1295347607 | Michael Hanna | Pharmacist | 5455 Roberts St, Shawnee, KS 66226-3937 | 2020-08-18 |
| 1659995371 | Michael Hanna | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2020-05-29 |
| Street Address |
1653 W CONGRESS PKWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272154 | Beth Nachtsheim Bolick | Nurse Practitioner | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2005-08-15 |
| 1558986844 | Eric Polich | Emergency Medicine | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-11 |
| 1811511363 | Jessica Shiming Dai | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-06-01 |
| 1013530179 | Megan Karolyn Marshalla | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-05-24 |
| 1265053359 | Lauren Elaine Falk | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-30 |
| 1003437260 | Sonali Gupta | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-29 |
| 1265053631 | Amalia Namath | Obstetrics & Gynecology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-04-27 |
| 1164059325 | Colleen M Bray | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1225665425 | Sabina Irene Cashin | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-26 |
| 1467089011 | Jelena Brdarski | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922157635 | Stephen Adams | Internal Medicine | 259 E Erie St # 100, Chicago, IL 60611-2930 | 2007-01-10 |
| 1023020989 | Ronald Anthony Hickombottom | Internal Medicine | 728 W Jackson Blvd Apt 306, Chicago, IL 60661-5405 | 2006-08-12 |
| 1285612259 | Kathleen M. Weber | Internal Medicine | 1611 W. Harrison, Suite 400, Chicago, IL 60612 | 2006-01-09 |
| 1275195059 | Sure Work Health Clinic Ltd | Internal Medicine | 830 N Ashland Ave, Chicago, IL 60622-5684 | 2019-07-02 |
| 1386102903 | Sure Work Health Clinic | Internal Medicine | 6222 S Pulaski Rd, Chicago, IL 60629-4610 | 2019-03-04 |
| 1861755035 | Jeremy Alland | Internal Medicine | 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 | 2012-06-21 |
| 1437350592 | Balu Natarajan Md Sc | Internal Medicine | 711 W North Ave, Suite 208, Chicago, IL 60610-7010 | 2007-05-29 |
| 1356400600 | Illinois Bone and Joint Instit | Internal Medicine | 680 N Lake Shore Dr, Suite 1028, Chicago, IL 60611-4546 | 2006-12-06 |
| 1033104955 | Cynthia Labella | Internal Medicine | 225 E Chicago Ave # 69, Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659874261 | Relive Physician Services LLC | Internal Medicine | 333 Waukegan Rd Ste G, Glenview, IL 60025-5122 | 2018-03-10 |
| 1003171596 | Midamerica Orthopaedics, S.c. | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2012-07-10 |
| 1528255049 | Naveed H Elahi Dc Sc | Internal Medicine | 1037 E Woodfield Rd, Schaumburg, IL 60173-4706 | 2007-09-28 |
| 1245359041 | Michael Phillip Fragen | Internal Medicine | 1615 S Norbury Ave, Lombard, IL 60148-6182 | 2007-03-29 |
| 1235557877 | Angelo M. Savino | Internal Medicine | 720 Florsheim Dr, Libertyville, IL 60048 | 2014-04-01 |
| 1912324567 | Chicago Hand and Orthopedic Surgery Centers Sc | Internal Medicine | 1419 Peterson Rd, Libertyville, IL 60048-1001 | 2014-03-20 |
| 1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
| 1912211202 | Oa Associates, LLC | Internal Medicine | 4700 Memorial Drive, Ste. 350, Belleville, IL 62226 | 2010-07-29 |
| 1710213673 | Bromenn Physician Management Corporation | Internal Medicine | 2406 E Empire St, Bloomington, IL 61704-3630 | 2009-10-28 |
| 1730290198 | James T John | Internal Medicine | 545 Plainfield Rd, Ste., B, Willowbrook, IL 60527-7600 | 2006-08-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.