MEDICARE: DR. RYAN D HAMM D.C.

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	111N00000X	Chiropractor	038007530	IL

General Provider Information

NPI Number	:	1083642623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN D HAMM D.C.

Provider Business Mailing Address
First Line	:	510 CROSSING CT
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-2127
Country	:	US
Telephone Number	:	224-210-9460
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 W GOLF RD STE 29
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3923
Country	:	US
Telephone Number	:	224-875-7320
Fax Number	:

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/10/2020

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