MEDICARE: DR. DAVID S. HEMMER 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
1	174400000X	Specialist	036052972	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710984729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S. HEMMER M.D.

Provider Business Mailing Address
First Line	:	2210 DEAN ST STE L
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60175-1059
Country	:	US
Telephone Number	:	630-461-9833
Fax Number	:	847-741-8587

Provider Business Practice Location Address
First Line	:	2210 DEAN ST STE L
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60175-1059
Country	:	US
Telephone Number	:	630-461-9833
Fax Number	:	847-741-8587

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	12/14/2021

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