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NPI Code Detail

MEDICARE: DR. NANCY ANDERSON HAMMING M.D.

MEDICARE: DR. NANCY ANDERSON HAMMING M.D.
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
1207W00000XOphthalmology PhysicianIL

General Provider Information

NPI Number : 1164425062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY ANDERSON HAMMING M.D.
Provider Business Mailing Address
First Line : 48 S GREENLEAF ST
Second Line :
City : GURNEE
State : IL
Zip : 60031-3300
Country : US
Telephone Number : 847-662-4016
Fax Number : 847-662-4174
Provider Business Practice Location Address
First Line : 48 S GREENLEAF ST
Second Line :
City : GURNEE
State : IL
Zip : 60031-3300
Country : US
Telephone Number : 847-662-4016
Fax Number : 847-662-4174
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/09/2007

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