Individual
LISA HAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
14470 S LA GRANGE RD, ORLAND PARK, IL 60462-2630
(708) 349-2227
(708) 349-5824
Mailing address
39 GRAYMOOR LN, OLYMPIA FIELDS, IL 60461-1211
(708) 296-1665
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
PENDING
IL
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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