Provider Demographics
NPI:1518074087
Name:HAMILTON, CLAUDE WINCHESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:WINCHESTER
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1400 RENAISSANCE DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1329
Mailing Address - Country:US
Mailing Address - Phone:224-938-9264
Mailing Address - Fax:224-938-9266
Practice Address - Street 1:1400 RENAISSANCE DR
Practice Address - Street 2:SUITE 216
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1329
Practice Address - Country:US
Practice Address - Phone:224-938-9264
Practice Address - Fax:224-938-9266
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2012-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036081593207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH98569Medicare UPIN