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NPI Code Detail

MEDICARE: DR. HORACE RHODES HAMBRICK MD, MS

MEDICARE: DR. HORACE RHODES HAMBRICK MD, MS
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
12080P0210XPediatric Nephrology Physician036170771IL

General Provider Information

NPI Number : 1619471364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HORACE RHODES HAMBRICK MD, MS
Provider Business Mailing Address
First Line : 875 N MICHIGAN AVE STE 1500
Second Line :
City : CHICAGO
State : IL
Zip : 60611-1803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 E CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2991
Country : US
Telephone Number : 800-543-7362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 12/02/2025

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