Provider Demographics
NPI:1386429579
Name:SPILLANE, HANNAH (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:SPILLANE
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5345 W 99TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-3815
Mailing Address - Country:US
Mailing Address - Phone:708-499-6400
Mailing Address - Fax:
Practice Address - Street 1:5345 W 99TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-3815
Practice Address - Country:US
Practice Address - Phone:708-499-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1302028235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist