MEDICARE: ALFREDA HAMPTON, MD, SC

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	207V00000X	Obstetrics & Gynecology Physician		IL

General Provider Information

NPI Number	:	1518914431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFREDA HAMPTON, MD, SC

Provider Business Mailing Address
First Line	:	1933-C S. STATE ST
Second Line	:	SUITE C
City	:	CHICAGO
State	:	IL
Zip	:	60616-1768
Country	:	US
Telephone Number	:	312-842-9900
Fax Number	:	312-842-9905

Provider Business Practice Location Address
First Line	:	1933 S STATE ST
Second Line	:	SUITE C
City	:	CHICAGO
State	:	IL
Zip	:	60616-1768
Country	:	US
Telephone Number	:	312-842-9900
Fax Number	:	312-842-9905

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALFREDA HAMPTON
Credential	:	MD
Telephone Number	:	312-842-9900

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

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