Healthcare Provider Details

I. General information

NPI: 1508062159
Provider Name (Legal Business Name): JOEHAR HAMDAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23120 S LAGRANGE RD
FRANKFORT IL
60423-7760
US

IV. Provider business mailing address

23120 S LAGRANGE RD
FRANKFORT IL
60423-7760
US

V. Phone/Fax

Practice location:
  • Phone: 815-464-5440
  • Fax: 815-936-5404
Mailing address:
  • Phone: 708-307-2451
  • Fax: 815-936-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number036.125224
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036125224
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: