Healthcare Provider Details

I. General information

NPI: 1720348287
Provider Name (Legal Business Name): ONYEKACHI CHIKA HAMMACK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHIKA HAMMACK M.D.

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 HEALTH PKWY
MT PLEASANT MI
48858-6934
US

IV. Provider business mailing address

2935 HEALTH PKWY ISABELLA CITIZENS FOR HEALTH
MT PLEASANT MI
48858-8931
US

V. Phone/Fax

Practice location:
  • Phone: 989-779-5270
  • Fax:
Mailing address:
  • Phone: 989-779-5270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301109582
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: