Provider Demographics
NPI:1225699218
Name:HAMMAN, JEREMY DAVID (BS)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:DAVID
Last Name:HAMMAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5611
Mailing Address - Country:US
Mailing Address - Phone:630-469-6061
Mailing Address - Fax:630-469-1212
Practice Address - Street 1:462 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5611
Practice Address - Country:US
Practice Address - Phone:630-469-6061
Practice Address - Fax:630-469-1212
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist