Healthcare Provider Details

I. General information

NPI: 1659809705
Provider Name (Legal Business Name): BRITTANY C HAMPTON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4457 SOUTHWEST HWY STE 201
OAK LAWN IL
60453-3778
US

IV. Provider business mailing address

PO BOX 3877
JOLIET IL
60434-3877
US

V. Phone/Fax

Practice location:
  • Phone: 708-598-2448
  • Fax: 708-827-5419
Mailing address:
  • Phone: 815-714-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209015898
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: