Provider Demographics
NPI:1356138762
Name:HANNA, TAREK
Entity type:Individual
Prefix:
First Name:TAREK
Middle Name:
Last Name:HANNA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:TAREK
Other - Middle Name:H
Other - Last Name:HANNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5720 EAST AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:COUNTRYSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-7281
Mailing Address - Country:US
Mailing Address - Phone:708-518-1664
Mailing Address - Fax:
Practice Address - Street 1:5720 EAST AVE APT 3B
Practice Address - Street 2:
Practice Address - City:COUNTRYSIDE
Practice Address - State:IL
Practice Address - Zip Code:60525-7281
Practice Address - Country:US
Practice Address - Phone:708-518-1664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter