Provider Demographics
NPI:1417290537
Name:HAMMER, JANELLE ANNE (PSYD)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:ANNE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 NOR OAKS CT.
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-2244
Mailing Address - Country:US
Mailing Address - Phone:630-415-6215
Mailing Address - Fax:
Practice Address - Street 1:919 N PLUM GROVE RD STE C
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4760
Practice Address - Country:US
Practice Address - Phone:847-413-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.008559103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical