Provider Demographics
NPI:1346784477
Name:KULUNKOGLU, HANNAH ABIGAIL (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ABIGAIL
Last Name:KULUNKOGLU
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ABIGAIL
Other - Last Name:KLOPPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3815 HIGHLAND AVE
Mailing Address - Street 2:CRITICAL CARE UNIT
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-275-7313
Mailing Address - Fax:
Practice Address - Street 1:3815 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-881-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209014878363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care