MEDICARE: DR. JOANN FRANCES HAMM O.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	152W00000X	Optometrist		IL

General Provider Information

NPI Number	:	1942368154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANN FRANCES HAMM O.D.

Provider Business Mailing Address
First Line	:	1500 N ARLINGTON HEIGHTS RD STE 1504
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4827
Country	:	US
Telephone Number	:	847-255-9922
Fax Number	:	847-255-8699

Provider Business Practice Location Address
First Line	:	1500 N ARLINGTON HEIGHTS RD STE 1504 SUITE 1504
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4827
Country	:	US
Telephone Number	:	847-255-9922
Fax Number	:	847-255-8699

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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