| Doctor Name: | HANNA CHARIZ ROEWER |
| NPI Number: | 1164889184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209013145 |
| Business Practice Address: | 1 Westbrook Corporate Ctr Ste 300 Westchester, IL - 601545701 |
| Business Phone Number: | 7083753075 |
| Business Fax Number: | |
| Mailing Address: | 8017 Kolmar Ave, SKOKIE |
| State: | IL |
| Postal Code: | 600763114 |
| Phone Number: | 8479421640 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2016 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209013145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |