Individual
DR. JEFFREY WARREN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2151 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015-1857
(847) 236-1300
(847) 236-9637
Mailing address
2151 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015-1857
(847) 236-1300
(847) 236-9637
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036088379
IL
207RP1001X
Pulmonary Disease Physician
036088379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088379
—
IL
01
—
36-3200051
FEIN
IL
Enumeration date
08/24/2005
Last updated
10/13/2020
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