1255362620 NPI number — DR. AIMEE HAMILTON D.C.

Table of content: DR. AIMEE HAMILTON D.C. (NPI 1255362620)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255362620 NPI number — DR. AIMEE HAMILTON D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILTON
Provider First Name:
AIMEE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LE ROUX
Provider Other First Name:
AIMEE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1255362620
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1315 W 22ND ST
Provider Second Line Business Mailing Address:
STE. #110
Provider Business Mailing Address City Name:
OAK BROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60523-2057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-462-4444
Provider Business Mailing Address Fax Number:
312-626-2070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1315 W 22ND ST
Provider Second Line Business Practice Location Address:
STE. #110
Provider Business Practice Location Address City Name:
OAK BROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60523-2057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-462-4444
Provider Business Practice Location Address Fax Number:
312-626-2070
Provider Enumeration Date:
07/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  038011884 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)