Organization
FRANCISCAN HAMMOND CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY DELAO (ADMINISTRATOR)
(219) 836-5800
Entity
Organization
Contact information
Practice address
11355 W 97TH LN, SAINT JOHN, IN 46373-9601
(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
207N00000X
Dermatology Physician
01021975
IN
207Q00000X
Family Medicine Physician
Primary
02002075
IN
207V00000X
Obstetrics & Gynecology Physician
01027708
IN
208000000X
Pediatrics Physician
01028626
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024850
—
IN
Enumeration date
02/13/2012
Last updated
03/28/2012
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