MEDICARE: JOHN A HAMBY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	036071975	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020041447	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1134108657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A HAMBY MD

Provider Business Mailing Address
First Line	:	1860 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0018
Country	:	US
Telephone Number	:	630-758-8838
Fax Number	:	630-758-8846

Provider Business Practice Location Address
First Line	:	1200 S YORK RD
Second Line	:	SUITE 4220
City	:	ELMHURST
State	:	IL
Zip	:	60126-5626
Country	:	US
Telephone Number	:	630-758-8838
Fax Number	:	630-758-8846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/26/2018

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Directions to “ JOHN A HAMBY MD” Practice Location

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