Provider Demographics
NPI:1164980769
Name:LEGATOR, HANNA ERIN (MD)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:ERIN
Last Name:LEGATOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 N. CALIFORNIA AVE.
Mailing Address - Street 2:SUITE 605-GMP OB/GYN
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625
Mailing Address - Country:US
Mailing Address - Phone:773-878-7787
Mailing Address - Fax:773-878-0788
Practice Address - Street 1:5140 N CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3645
Practice Address - Country:US
Practice Address - Phone:773-878-7787
Practice Address - Fax:773-878-0788
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125074954207V00000X
390200000X
IL036166607207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program