Nichelle R. Hampton D.O.

NPI 1003837725 - Internal Medicine - 207R00000X

NPI Details
NPI 1003837725
Gender Female
Enumeration Date 07/21/2006
Last Updated 01/28/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
21200 S LAGRANGE RD
SUITE 305
FRANKFORT IL, 60423-2003, US
Phone (815) 406-5011
Fax
Business Location
21200 S LAGRANGE RD
SUITE 305
FRANKFORT IL, 60423-2003, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-096408
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According to our database, Nichelle R. Hampton D.O. NPI is 1003837725, taxonomy code is 207R00000X and license number is 036-096408, license state is located at Illinois. Nichelle R. Hampton D.O. physically located at 21200 S Lagrange Rd, Frankfort IL, 60423-2003. NPI Number Nichelle R. Hampton D.O. has the Individual type.

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1003837725 NPI number is provided on an as is basis without warranty of any kind. 1003837725 is maintained by the National Plan & Provider Enumeration System. The contents of Nichelle R. Hampton D.O. are for informational purposes only.