Individual
CHRISTA ANN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4368
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043082435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851315535
BRIDGEWAY FEIN
IL
Enumeration date
12/14/2009
Last updated
12/14/2009
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