Organization
EWA V. HAMPSTON MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EWA V HAMPSTON M.D. (PHYSICIAN)
(708) 448-5500
Entity
Organization
Contact information
Practice address
12130 S HARLEM AVE, SUITE B, PALOS HEIGHTS, IL 60463-1458
(708) 448-5500
(708) 448-5501
Mailing address
12130 S HARLEM AVE, SUITE B, PALOS HEIGHTS, IL 60463-1458
(708) 448-5500
(708) 448-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
336071862
IL
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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