Individual
LARA HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 W JACKSON ST STE 303, CARBONDALE, IL 62901-1474
(618) 351-9300
Mailing address
7900 N MILWAUKEE AVE, SUITE 17, NILES, IL 60714-3159
(847) 470-0297
(847) 470-0302
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-116220
IL
208800000X
Urology Physician
2016-02055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116220
—
IL
01
—
NCU975A
MEDICARE PTAN
NC
01
—
P00348700
RAILROAD MEDICARE
IL
Enumeration date
06/29/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us