Provider Demographics
NPI:1558851311
Name:HANUL FAMILY ALLIANCE
Entity Type:Organization
Organization Name:HANUL FAMILY ALLIANCE
Other - Org Name:HANUL FAMILY ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:773-478-8851
Mailing Address - Street 1:300 KNIGHTSBRIDGE PKWY STE 116
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3663
Mailing Address - Country:US
Mailing Address - Phone:847-393-7488
Mailing Address - Fax:847-393-7517
Practice Address - Street 1:300 KNIGHTSBRIDGE PKWY STE 116
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3663
Practice Address - Country:US
Practice Address - Phone:847-393-7488
Practice Address - Fax:847-393-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty