Individual
DR. ERNESTINE HAMBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1340 S DAMEN AVE, SUITE 200, CHICAGO, IL 60608-1169
(312) 997-7200
(312) 997-7250
Mailing address
1340 S DAMEN AVE, SUITE 200, CHICAGO, IL 60608-1169
(312) 997-7200
(312) 997-7250
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036.042220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.042220
—
IL
Enumeration date
07/22/2009
Last updated
07/22/2009
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