Organization
FRANCISCAN HAMMOND CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY DELAO (ADMINISTRATOR)
(219) 836-5800
Entity
Organization
Contact information
Practice address
9800 VALPARAISO COURT, MUNSTER, IN 46321-4040
(219) 836-5800
(219) 836-8073
Mailing address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-5800
(219) 836-8073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032154
IN
207V00000X
Obstetrics & Gynecology Physician
01052057
IN
208000000X
Pediatrics Physician
01061659
IN
208800000X
Urology Physician
01066795
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024850
—
IN
Enumeration date
02/29/2012
Last updated
03/15/2012
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