Individual
KELSIE LYNN HAMMAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 ILLINOIS ST, GREAT LAKES, IL 60088-3120
(847) 688-1900
Mailing address
1417 LAKEWOOD DR, JOLIET, IL 60431-8420
(815) 715-0867
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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