Provider Demographics
NPI:1275194730
Name:DUNNE, HANNAH PAYTON
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:PAYTON
Last Name:DUNNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N RACINE AVE UNIT 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7006
Mailing Address - Country:US
Mailing Address - Phone:708-646-6272
Mailing Address - Fax:
Practice Address - Street 1:2000 N RACINE AVE UNIT 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7006
Practice Address - Country:US
Practice Address - Phone:708-646-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL178.017094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02215636OtherBLUE CROSS BLUE SHIELD