# FRANCISCAN HAMMOND CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386917912
- **Authorized official:** BEVERLY DELAO (ADMINISTRATOR)
- **Authorized official phone:** (219) 836-5800

## Contact information

- **Practice address:** 11355 W 97TH LN, SAINT JOHN, IN 46373-9601
- **Practice address phone:** (219) 836-5800
- **Practice address fax:** (219) 836-8073
- **Mailing address:** 7905 CALUMET AVE, MUNSTER, IN 46321-2549
- **Mailing address phone:** (219) 836-5800
- **Mailing address fax:** (219) 836-8073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | 01021975 | IN | — |
| 207Q00000X | Family Medicine Physician | 02002075 | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 01027708 | IN | — |
| 208000000X | Pediatrics Physician | 01028626 | IN | — |

## Other

- **Enumeration date:** 02/13/2012
- **Last updated:** 03/28/2012